Ultrasound Urgent Cases for Discussion

Case presentation by:  José M. Torreblanca Doblas, Hospital Comarcal de Melilla

 

 
8 Week Embryo
(fig.1and 2: alive embryo 8 wk)
23 yr, G2P1 (vaginal delivery 01-03-01)
Last menses 09-20-01
First visit 12-18-01 (12.5 wk amenorrhoea)
Scan made with a HITACHI EUB-405, vaginal probe not available at that moment.
What do you think?
José M. Torreblanca Doblas, Ob/Gyn Ph Hospital Comarcal de Melilla Spain

 

(fig 3)  I also thought it was a bicornus uterus or didelfus, or a septum uterus. And so...the second visit, 18 wk by u.s., and offered this pic (it´s a bad pic)
 

Comments

It may be a left interstitial implantation in a bicornuate uterus. The right "sac" could be a cast.
Ted

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I agree with Dr. Lyons, this may be a case of bicornuate uterus... the decidua basalis implantation appears it may be over the birth canal of the left horn? 
 
Can't quite make out the measurements, was there an embryo in each horn?

Peace, Terry J. DuBose, M.S., RDMS