Re: cornual pregnancy

From: art fougner, md (evsono@pipeline.com)
Tue Apr 23 12:12:33 2002


is the sac outside the confines of the endometrial echo?

art

At Mon, 22 Apr 2002, Pamela Grace C. Gonzalez, MD wrote: >
>Dear Colleagues,
>Please help me with this.
>
>This is my case. 38 yo G1P0, asymptomatic. First seen in the clinic
>due to amenorrhea. Repeated Pregnancy Test done at home revealed
>negative results. Given progesterone which did not induce menses.
>Ultrasound done 2 weeks after medication revealed: Early single
>intrauterine pregnancy 4-5 weeks by mean sac diameter location of the
>gestational sac is near the fundal portion at the left which is not the
>usual location. Both ovaries are small with a corpus luteum on the
>left.
>
>Patient remained asymptomatic.
>
>Repeat ultrasound 3 weeks later revealed Single live intrauterine
>pregnancy 7-8 weeks by embryonic pole with strong cardiac activity.
>Location of the gestational sac is still close to the left fundal
>portion with a portion not surrounded by myometrium at certain planes.
>This is suggestive of a cornual pregnancy but cannot rule out the
>presence of a bicornuate uterus with its site of gestation within the
>left cornual area.
>
>Both were done by the same Gyne sonologist.
>
>What's next?
>
>Thank you.
>
>Dr Gay

--
art fougner, md
ich bin ein New Yorker




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