Presentation
First trimester heavy vaginal bleeding . Twin pregnancy Gestational age by LMP 11 weeks.
Patient Data
Age: 35 years
Gender: Female
From the case:
Subchorionic hemorrhage
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Acute left lateral crescent-shaped subchorionic hemorrhage (difficult to differentiate from the adjacent chorion).
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Decreasing echogenicity of the collection.
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Subacute subchorionic hemorrhage (decreasing echogenicity of the collection).
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Hypoechoic left lateral crescent-shaped subchorionic hemorrhage (chronic stage).
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Hypoechoic left lateral crescent-shaped subchorionic hemorrhage (chronic stage).
Case Discussion
The collection showed variable echotexture depending on the time elapsed since bleeding,
- It was hyperechoic in the acute stage and may be difficult to differentiate from the adjacent chorion
- Then it showed decreasing echogenicity with time
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