Re: Yolk sac number in multiple gestations (monochorionic)

From: art fougner, md (evsono@pipeline.com)
Fri Jun 25 07:42:42 2004


Ok looks like a multiple pregnancy - suspect pathologic - would f/u in 1 wk. image labeled no.2 has the "diamond ring" sign, consistent with a small embryo. the lack of fh is suspicious but not diagnostic. will be interesting to see the follow-up.

art

At Fri, 25 Jun 2004, Rich Dempsey RDMS/RVT wrote: >
>The actual "numbers" were:
>
>LMP consistent with a GA of 5.5 wks
>Mean GSD = 12mm
>bHCG = 17,600
>
>“Yolk sac” # 1 = 2mm
>“Yolk sac” # 2 = 6mm
>“Yolk sac” # 3 = 4 mm
>
>“Yolk sac” # 2 had an area of focal thickening, perhaps a very early
>embryo, which measured ?(CRL) 2.3 mm. No cardiac activity was seen.
>
>mGSD and CRL were 5w4d (possible IUP) . Mean bHCG is reported in the
>literature to be 16,870 for a gestational sac of 12-13 mm. (Range
>11,230-25,640) .
>
>I haven't been able to upload the 2 small jpegs to demonstrate findings,
>and have emailed them as attachments, instead.
>
>Sequential bHCG's are planned.

--
art fougner, md
ich bin ein New Yorker



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