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. 2020 Nov;4(4):636-637.
doi: 10.5811/cpcem.2020.8.48627.

Female with Vaginal Bleeding

Mark Quilon  1 , Alec Glucksman  1 , Gregory Emmanuel  2 , Josh Greenstein  1 , Barry Hahn  1
Affiliations

Female with Vaginal Bleeding

Mark Quilon et al. Clin Pract Cases Emerg Med. 2020 Nov.

Abstract

Case presentation: A 24-year-old pregnant female presented to the emergency department with lower abdominal cramping and vaginal bleeding. A point-of-care ultrasound demonstrated a calcified yolk sac.

Discussion: When identified, calcification of the yolk sac in the first trimester is a sign of fetal demise. It is important for an emergency physician to be aware of the various signs and findings on point-of-care ultrasound and be familiar with the management of these pathologies.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
Close-up view of transvaginal sonogram demonstrating a fetal pole (gray arrow) with an adjacent echogenic yolk sac (white arrow), along with posterior acoustic shadowing (asterisk).
Image 2
Image 2
Transvaginal sonogram demonstrating a fetal pole (gray arrow) with an adjacent echogenic yolk sac (white arrow).
See this image and copyright information in PMC

References

    1. Harris RD, Vincent LM, Askin FB. Yolk sac calcification: a sonographic finding associated with intrauterine embryonic demise in the first trimester. Radiology. 1988;166(1):109–10. - PubMed
    1. Rodgers SK, Chang C, DeBardeleben JT, et al. Normal and abnormal US findings in early first-trimester pregnancy: review of the Society of Radiologists in Ultrasound 2012 Consensus Panel recommendations. RadioGraphics. 2015;35(7):1661–71. - PubMed
    1. Lyons EA, Levi CS. The first trimester. In: Rumack CM, Wilson SR, Charboneau JW, editors. Diagnostic Ultrasound. St Louis, MO: CV Mosby Co; 2005. pp. 1070–1100.
    1. Tan S, Pektaş MK, Arslan H. Sonographic evaluation of the yolk sac. J Ultrasound Med. 2012;31(1):87–95. - PubMed
    1. Hoffman BL, Schorge JO, Halvorson LM, et al. First-trimester abortion. In: Hamid CA, Corton MM, Schaffer JI, editors. Williams Gynecology. 4th ed. New York, NY: McGraw-Hill; 2020.

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