Overlapping imaging features between miscarriage of a low‐lying gestational sac and cervical ectopic pregnancy
نویسندگان
چکیده
Early pregnancy ultrasound must satisfy objective criteria to make a safe diagnosis of miscarriage. The differential low-lying gestational sac includes cervical stage miscarriage and caesarean scar ectopic pregnancies. Misdiagnosis can lead significant maternal morbidity. We describe in 36-year-old primiparous woman where findings gestation satisfied for miscarriage; however, dilatation curettage contents resulted brisk bleeding. Ultrasound at 6 weeks days showed an intra-uterine uncertain viability. Repeat scan after 11 confirmed based on absence interval progression between scans no embryonic heartbeat. collapsed (GS) was seen the level internal os with decidual reaction peri-trophoblastic blood flow. Inferior sac, minimally vascular trophoblastic appearing tissue beginning distend upper canal: sliding sign positive GS negative contents. Cervical stroma clearly circumferential distending tissue. patient underwent uterus complicated by 2000 ml haemorrhage requiring transfusion medical surgical management intra-cavitary placement Foley catheter. Histopathology disruption epithelium but true invasion. counselled attend specialist obstetric imaging facility early dating future current body literature does not cases high-risk features extension into canal. suggest maintaining high index suspicion excluding diagnoses as majority women have risk factors pregnancy. These should be recommended management.
منابع مشابه
Successful Management of Cervical Ectopic Pregnancy: A Case Report
Background: Cervical ectopic pregnancy is a rare condition with an incidence of less than 0.1% in all ectopic pregnancies. This life-threatening condition is associated with a high morbidity and mortality rates. Recently, the recommended protocol for the treatment of cervical ectopic pregnancy is fertility preservation rather than invasive surgery and hysterectomy. The aim of t...
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متن کاملAccidental Finding of Ectopic Pregnancy in a Catwith Presence of Three Fetuses without Gestational Sac that were Attached to the Abdominal Wall and Mesentery (A Case Report)
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ژورنال
عنوان ژورنال: Australasian journal of ultrasound in medicine
سال: 2023
ISSN: ['1836-6864', '2205-0140']
DOI: https://doi.org/10.1002/ajum.12337