Abortus incompletus
Transvaginal
ultrasonography in a 32 year old woman with a pregnancy of a gestational age of 6 or 7 weeks from last menstrual period, who contacted the clinic because of vaginal bleeding. It shows some products of conception in the cervix (to the left in the image) and remnants of a gestational sac by the fundus (to the right in the image), indicating an incomplete miscarriage.
Incomplete miscarriage is a term given to miscarriage where there are retained products of conception still within the uterus.
Radiographic features
Ultrasound
Ultrasound appearance is variable, ranging from visible fetal parts to a mass of mixed echogenicity. The presence of a prominent vascular supply and feeding vessel helps make the diagnosis. In more chronic cases the retained products may be avascular.
Treatment and prognosis
These can be managed medically (e.g. misoprostol treatment) or surgically (e.g. dilatation and curettage).
Complications
Complications include:
- endometritis
- myometritis
- peritonitis
- septic shock
- diffuse intravascular coagulopathy (DIC)
Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Abortus incompletus:
