SONOWORLD : Pregnancy in a uterus with synechia

Username

Password

171,982 Registered Members as of 02/21/2019.

JavaScript must be enabled in order for you to use Sonoworld.com in standard view. However, it seems JavaScript is either disabled or not supported by your browser. To use standard view, enable JavaScript by changing your browser options, then try again.

Obstetrics » Obstetrics 2nd And 3rd Trimester

Pregnancy in a uterus with synechia

« Back to Listing

Author(s) :

Carlos Victor Lopez Casanas, MD

Presentation These are serial scans of a 32-year-old pregnant woman with a history of prior C-section.

Caption: Longitudinal and transverse views of uterus at 7 weeks of gestational age

Description: Two gestational sacs are apparent in this view, making the possibility of twin gestation likely.

Caption: View of the uterus

Description: An embryo was visualized in only one of the gestational sac. At this stage, a diagnosis of twin gestation was made with one twin being underdeveloped.

Caption: 3D reconstruction of both sacs

Description: This image also demonstrates the presence of only one embryo in one of the gestational sac.

Caption: 3D reconstruction magnification

Description: A small but a very important detail is noted: the wall in between the two sacs does not have continuity.

Caption: Same patient six weeks later

Description: In this image only one sac and a single baby is seen.

Caption: Same patient six weeks later

Description: This image shows the umbilical cord in detail, crossing the membrane.

Caption: Scans of the uterus

Description: This image shows a band crossing the gestational sac, making possible two diagnoses: either uterine synechiae or amniotic band. She never had twin gestation.

Caption: Scan of the uterus

Description: An appropriate for age fetus is noted with a septum like structure seen coursing the gestational sac.

Differential Diagnosis

Twin gestation with an underdeveloped twin in the early stages of gestation, later on two possibilities either an amniotic band or uterine synechium causing asymmetric division of the uterus

Final Diagnosis Pregnancy in a uterus with synechia

Follow Up This patient delivered a healthy baby by a caesarean section and the diagnosis of synechium in the uterus was confirmed.

Other contents by this AuthorOther Cases in This Category

Obstetrics >> Obstetrics 2nd And 3rd Trimester

Placenta previa
Because the patient reported intermittent vaginal bleeding, a sonogram was performed in the second trimester of this pregnancy.

Succenturiate lobe of placenta
This sonogram was performed in the second trimester for the purpose of determining gestational age and screening for anomalies.

Fetal bronchopulmonary sequestration with cystic adenomatoid malformation
This is a 30 year old female who presented to the ultrasound unit at a gestational age of 18.5 menstrual weeks with diamniotic, dichorionic twins. Her past history was remarkable for a prior ...

Idiopathic infantile arterial calcification
This is a 35 year old G4P2 patient whose previous child was stillborn due to non-immune hydrops. During the current pregnancy, she had an ultrasound at 20 weeks, showing a normal fetal survey. ...

Autosomal recessive polycystic kidney disease
A 29 year old woman, G1, P0, A0 presented for antenatal ultrasound. The gestational age of the fetus at the time of examination was 30w 3d.

Antenatal cystic hygroma
A 25 year old woman referred for gestational age assessment.

Gastroschisis
This is a routine second trimester antenatal ultrasound that was performed at 14 weeks gestational age.

Prenatal detection of cystic adenomatoid malformation of the lung
This is a routine antenatal scan at 22 weeks of gestation.

Thanatophoric dysplasia, third trimester
This 18 year old woman, primigravida, presented for a routine antenatal scan at 31 weeks of gestation. She has no significant past medical history.

Bilateral cleft lip and cleft palate
A woman presented for a routine second trimester antenatal scan.

Anencephaly
A 21 year old woman, primigravida, presented for routine antenatal ultrasound.

Umbilical vein varix
A 26 year old primigravida presented for a routine third trimester ultrasound. Fetal gestational age corresponded to 34 weeks.

Intracranial arteriovenous malformation with cardiomegaly
This is a routine asymptomatic third trimester ultrasound.

Cord around the neck of the fetus
A young woman presented for routine obstetric scan.

Cystic hygroma with hydrops
This is the fetal scan in a woman who presented for a routine second trimester antenatal ultrasound examination at 20 weeks of gestation.

Beckwith Wiedemann syndrome
This is the ultrasound in a 32-year-old gravida at 34 weeks of gestation. She had an ultrasound performed outside of our hospital which showed macrosomia.

Fetal hydrops
A woman presented for routine second trimester antenatal ultrasound

Osteogenesis Imperfecta with Agenesis of Corpus Callosum
A 23 years old primagravida presented for routine sonographic scan with no significant complaints. According to the patient, menstrual age was approximately 30 weeks.

Fetal Spongiform Myocardium
A 32 year old gravida 1, para 1 female came for her 1st ultrasound at 28 weeks of gestation. The fetus had a normal anatomic survey except for the appearance of the heart.

Split hand and foot syndrome

39 week gestation with fetal gallstones
A patient came in for a biophysical profile. She had a failed non-stress test. She is 29 years old and is morbidly obese. This is her first pregnancy. Other than her obesity she has no other ...

multicystic Dysplastic Kidney
This was a 2nd trimester scan to corfirm dates. There were no risk factors. The mother was 26 years old with a previous normal pregnancy.

Succenturiate Lobe of Placenta
Primigravida with 20 wks gestation came for a routine scan.

Vein of Galen Aneurysm with Hydrocephalus
Routine third trimester scan.