Question 1
This young woman is 12 weeks' pregnant and has been bleeding for 3 days. She still feels pregnant and has been very sick.
Opposite are shown the two ultrasound scans taken in the midline of the pelvis.
What is your diagnosis?
Select one option from the answers below.
This young woman is 12 weeks' pregnant and has been bleeding for 3 days. She still feels pregnant and has been very sick.
Opposite are shown the two ultrasound scans taken in the midline of the pelvis.
What is your diagnosis?
Select one option from the answers below.
- Missed or delayed miscarriage
- Ectopic pregnancy
- Partial molar pregnancy
- Complete mole
- Complete miscarriage
- Normal early pregnancy with subchorionic haemorrhage
A. Possibly correct. There is a small gestation sac, although it is difficult to see an embryo. The trophoblast/placenta is, however enlarged and heterogeneous, containing many black cystic spaces. Although similar appearances may be seen in hydropic change of a missed miscarriage, the changes are very pronounced and suggest a molar pregnancy. This is a partial mole (see image below).
gs = gestation sac; at = abnormal trophoblast
This young woman is 12 weeks' pregnant and has been bleeding for 3 days. She still feels pregnant and has been very sick.
Opposite are shown the two ultrasound scans taken in the midline of the pelvis.
What is your diagnosis?
Select one option from the answers below.
- Missed or delayed miscarriage
- Ectopic pregnancy
- Partial molar pregnancy
- Complete mole
- Complete miscarriage
- Normal early pregnancy with subchorionic haemorrhage
B. Incorrect. The scan is in the midline and although this does look a bit like a heterogeneous mass, this is in fact the uterus.
There is a small gestation sac, although it is difficult to see an embryo. The trophoblast/placenta is, however enlarged and heterogeneous, containing many black cystic spaces. Although similar appearances may be seen in hydropic change of a missed miscarriage, the changes are very pronounced and suggest a molar pregnancy. This is a partial mole (see image below).
gs = gestation sac; at = abnormal trophoblast
This young woman is 12 weeks' pregnant and has been bleeding for 3 days. She still feels pregnant and has been very sick.
Opposite are shown the two ultrasound scans taken in the midline of the pelvis.
What is your diagnosis?
Select one option from the answers below.
- Missed or delayed miscarriage
- Ectopic pregnancy
- Partial molar pregnancy
- Complete mole
- Complete miscarriage
- Normal early pregnancy with subchorionic haemorrhage
C. Correct. There is a small gestation sac, although it is difficult to see an embryo. The trophoblast/placenta is, however enlarged and heterogeneous, containing many black cystic spaces. Although similar appearances may be seen in hydropic change of a missed miscarriage, the changes are very pronounced and suggest a molar pregnancy. This is a partial mole (see image below).
gs = gestation sac; at = abnormal trophoblast
This young woman is 12 weeks' pregnant and has been bleeding for 3 days. She still feels pregnant and has been very sick.
Opposite are shown the two ultrasound scans taken in the midline of the pelvis.
What is your diagnosis?
Select one option from the answers below.
- Missed or delayed miscarriage
- Ectopic pregnancy
- Partial molar pregnancy
- Complete mole
- Complete miscarriage
- Normal early pregnancy with subchorionic haemorrhage
D. Incorrect. There is a small gestation sac, although it is difficult to see an embryo. The trophoblast/placenta is, however enlarged and heterogeneous, containing many black cystic spaces. Although similar appearances may be seen in hydropic change of a missed miscarriage, the changes are very pronounced and suggest a molar pregnancy. This is a partial mole (see image below).
gs = gestation sac; at = abnormal trophoblast
This young woman is 12 weeks' pregnant and has been bleeding for 3 days. She still feels pregnant and has been very sick.
Opposite are shown the two ultrasound scans taken in the midline of the pelvis.
What is your diagnosis?
Select one option from the answers below.
- Missed or delayed miscarriage
- Ectopic pregnancy
- Partial molar pregnancy
- Complete mole
- Complete miscarriage
- Normal early pregnancy with subchorionic haemorrhage
E. Incorrect. There is a small gestation sac, although it is difficult to see an embryo. The trophoblast/placenta is, however enlarged and heterogeneous, containing many black cystic spaces. Although similar appearances may be seen in hydropic change of a missed miscarriage, the changes are very pronounced and suggest a molar pregnancy. This is a partial mole (see image below).
gs = gestation sac; at = abnormal trophoblast
This young woman is 12 weeks' pregnant and has been bleeding for 3 days. She still feels pregnant and has been very sick.
Opposite are shown the two ultrasound scans taken in the midline of the pelvis.
What is your diagnosis?
Select one option from the answers below.
- Missed or delayed miscarriage
- Ectopic pregnancy
- Partial molar pregnancy
- Complete mole
- Complete miscarriage
- Normal early pregnancy with subchorionic haemorrhage
F. Incorrect. Although subchorionic haemorrhage may cause enlargement/thickening of the placenta, you would not expect to see this appearance.
There is a small gestation sac, although it is difficult to see an embryo. The trophoblast/placenta is, however enlarged and heterogeneous, containing many black cystic spaces. Although similar appearances may be seen in hydropic change of a missed miscarriage, the changes are very pronounced and suggest a molar pregnancy. This is a partial mole (see image below).
gs = gestation sac; at = abnormal trophoblast