OB/Gyn - Anembryonic Pregnancy
Caption
Anembryonic pregnancy 27 y/o G8P2 (5 prior D&Cs) presenting at 14 weeks pregnant by LMP for left lower quadrant pain radiating to her back "feels like mini-contractions) for 2 hours and vaginal bleeding. POCUS demonstrates intrauterine gestational sac with a mean sac diameter 3.1cm (correlating to 8 weeks) without yolk sac or fetal pole, consistent with an anembryonic pregnancy. The patient left AMA and returned 2 days later with sharp, 10/10, intermittent, contraction-like pain in the lower abd radiating to the back and heavy vaginal bleeding. Physical exam at that time demonstrated cervical dilation to 2cm with tissue in the os and pooling of blood within the vaginal vault. The patient underwent a dilation and curettage in the operating room. Stacey Frisch, MD, Sage Wiener, MD - Kings County/SUNY Downstate Emergency Medicine