Inevitable miscarriage mimicking a live cervical ectopic
Bleeding per vagina, elevated beta hCG. No previous ultrasound.
Loading Stack -
0 images remaining
The endometrial cavity is empty. There is however a gestational sac located within the cervix, which contains a yolk sac and a fetal pole with cardiac activity. No perigestational haemorrhage is seen.
On follow-up in this case, products of conception were passed soon after this ultrasound, and a subsequent scan showed an empty uterus and endocervix, confirming the diagnosis of inevitable miscarriage.
Nonetheless, this appearance should have a high index of suspicion for a cervical ectopic, which is a potentially more serious diagnosis, with risk of haemorrhage.
Notably the presence of cardiac activity in an endocervical miscarriage is an unusual feature in this case.