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Obstetrics » Obstetrics 1st Trimester
Laminated blood clot in the uterine cavity
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Presentation A young woman presents with on-going bleeding per vaginum since dilatation and curettage that was done 4 weeks ago for a missed abortion. An ultrasound scan done 2 weeks earlier showed no retained products of conception.
Caption: Midline transverse transabdominal scan of the uterus
Description: The uterine cavity is seen distended with fluid. An echogenic mass is seen within the uterine cavity, overlying the internal os. The mass shows a lamellated appearance.
Caption: Midline sagittal transabdominal scan of uterus
Description: The lamellated echogenic mass is noted again within the uterine cavity.
Differential Diagnosis Retained products of conception, hematoma in the endometrial canal, gestational trophoblastic disease
Final Diagnosis Laminated hematoma in the endometrial canal acting as a ball-valve in the internal os
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