Patient's question:
I accepted the mission on December 19th during my period. On the 24th, I self-tested and found I was pregnant. However, on the early morning of the 28th, I experienced a ruptured membrane, with a fist-sized, moist three-layer sheet. In the morning, I went to the hospital for a thorough examination and an ultrasound confirmed the report:Findings:
Pelvic examination revealed two uterine echoes. The right one was approximately 6.74.33.7 cm in size, while the left one was about 6.74.24.4 cm. A liquid was observed in the left uterine cavity, measuring about 0.50.40.3 cm. No fetal heartbeat or fetal bud was seen.
Interpretation:
Bicornuate uterus, hidden early pregnancy in the left uterus.
Vaginal ultrasound confirmed early pregnancy report:
MRI findings:
The uterus cross-section diameter is 656848 mm, with normal morphology but a wider transverse diameter. Abnormal uterine structure was noted, with a descending longitudinal septum echo in the central part of the uterus. The endometrial echo was divided into left and right parts, with the right endometrium measuring approximately
Doctor's answer:
Female, 31 years old, early pregnancy test positive on the 24th, minimal vaginal bleeding again on the 28th, ultrasound shows anechoic area in the left uterine cavity, 0.50.40.3mm, no fetal heartbeat or fetal bud seen. Advice: Based on the ultrasound, it is indeed pregnancy, and the gestational sac is located in the left uterine cavity. It may be because the pregnancy is too early, so the fetal bud and heartbeat are not yet visible. You can wait for a while and re-examine, and there should be a fetal heartbeat and fetal bud. Currently, it is possible to perform fetal preservation, but it cannot be guaranteed that the fetus is definitely normal. There may still be a possibility of fetal demise or another spontaneous abortion. Additionally, for patients in labor, the patient's dietary condition and care during treatment are also very crucial.