Miscarriage in real time

Case contributed by Jeffrey Hocking

Presentation

G1P0 10/40 - confirmed intrauterine 2 weeks ago. Now PV bleeding

Patient Data

Age: 25 years
Gender: Female
ultrasound

Uterus is anteverted and anteflexed, measuring 50 x 86 x 57mm, and containing anechoic fluid and a gestational sac. CRL of 7.5mm. No yolk sac present.

During the examination the gestational sac was expelled into the vagina

Case Discussion

The above CineLoop captures an active miscarriage in a 10/40 G1P0. The uterus is seen to contract, causing the gestational sac and endometrial contents to be expelled through the open os and into the cervix/vagina. Thus, it demonstrates the progression from an inevitable to a complete miscarriage.

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