Case history
Case history #1
A 24-year-old woman presents 8 weeks after her last menstrual period. She reports one episode of vaginal spotting during the past week. Urine pregnancy screen is positive, and serum human chorionic gonadotropin (hCG) is elevated. Ultrasound of the pelvis reveals an apparent missed abortion, with no identifiable fetal pole.
Case history #2
An 18-year-old pregnant woman presents at 10 weeks' gestation with vaginal bleeding. Vital signs indicate sinus tachycardia and hypertension. On pelvic exam the uterus is enlarged to 16 weeks' gestational size with a palpable left adnexal cyst of about 9 cm diameter. Pelvic ultrasound reveals a mixed echogenic (snow-storm) pattern with no fetus and thin-walled cysts in the left ovary.
Use of this content is subject to our disclaimer