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intrauterine ectopicFrom: Sharon Brown (bshabrown1@aol.com)Fri Aug 23 19:24:07 2002
I need info if posible. Last week I was sent a patient from the ER, in which the doc told the woman that he found fetal heart tones. I did a transvag and found a gestational sac with a yolk sac within. However, hard as I looked I couldn't find a fetal pole. As I was scanning the uterus I found what the doc was talking about. The problem is that the fetal pole that I found was outside of the gestational sac and it did have heart motion, it was also hyperechoic. I am completely baffeled by this, and the Rad that I showed the images and talked with couldn't quite figure it out either. How is it possible that a fetus can reach the 6-7 week stage outside of the gestational sac, and what would cause it to implant outside of the endometrious, yet still within the uterus. It was in the area where one would normally find a sub chorionic bleed. The fetal pole and the yolk sac both measured 4 mm. Any help would be appreciated. Thanks Sharon
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