Failed early pregnancy - missed miscarriage

Case contributed by Henry Knipe
Diagnosis certain

Presentation

G3P1. 11+3/40 by LMP. PV bleeding.

Patient Data

Age: 25
Gender: Female

Transvaginal ultrasound shows a gestational sac, size: 43 mm x 50 mm x 20 mm. MSD = 38.0 mm

Yolk sac: not visible.

Embryo present - CRL - 11mm. Embryonic heart action absent. 

Case Discussion

These findings (CRL more than 7 mm and absent embryonic heart rate) are consistent with missed miscarriage. 

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