Demographics:
37 years old, Female
Indication:
Pregnant, pelvic pain; LMP: 7 weeks prior; Beta-hCG: 16...
Pregnant, pelvic pain; LMP: 7 weeks prior; Beta-hCG: 16,000 mIU/mL
Findings
- Scar in the anterior lower uterine segment, likely related to prior C-section
- Intrauterine gestational sac within the lower uterine segment scar with very little tissue overlying the anterior margin of the gestational sac
- Mean sac diameter is 12 mm
- A fetal pole is present with crown-rump length measuring 8 mm
- Cardiac contractions are present with heart rate measured at 125 beats/minute
- Small subchorionic hemorrhage
- Normal appearance of the ovaries
- No free fluid in the cul-de-sac
Diagnosis
C-section scar ectopic pregnancy
Sample Report
Single live gestation with gestational sac located in a scar in the anterior wall of the lower uterine segment, concerning for a C-section scar ectopic. Recommend obstetric evaluation. Gestational age is estimated at 6 weeks, 5 days by crown-rump length.
Discussion