Failed early pregnancy

Case contributed by Luis Gerardo Duque F


Patient with a pregnancy of 11.6 weeks of gestation by date of last menstruation, consultation for pain in the hypogastrium and vaginal bleeding.

Patient Data

Age: 30 years
Gender: Female

Enlarged uterus.

The endometrial cavity is occupied by a gestational sac with lobulated edges, with dimensions of 47 x 28 x 33 mm for a gestational age of 8.6 weeks per mean diameter of the sac. Embryonic pole with a cranio-caudal length of 13 mm for a gestational age of 7.4 weeks, without identifying cardiac activity.

Adjacent to the embryonic pole, an anechoic ovoid image with well-defined, hyperechoic borders corresponding to the yolk sac with an approximate dimension in its longitudinal axis of 15 mm.

Case Discussion

There is an endometrial cavity occupied by a gestational sac. No cardiac activity is identified in an embryo with cranio-caudal length ≥7mm on transvaginal examination.

In addition to this, there are findings of poor prognosis such as an embryo present with visible amnion fluid around it, but without a heartbeat (expanded amnion sign) and an enlarged yolk sac (>7 mm).

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.