CASE PRESENTATION

PATIENT HISTORY

• Woman was in third decade of life
• Complained of vaginal bleeding
• OB/Gyn ordered a complete pelvis ultrasound
• Ultrasound done on Acuson S2000 machine with a 6MHz transducer
• No labs done.

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DIAGNOSIS

• Subchorionic hemorrhage
• Best evidence: same area as clot from previous ultrasound, crescent shaped collection that lifts the chorionic membrane, part of it is anechoic with a heterogenous collection of blood at the bottom
• Measured: 6.2x4.8x1.9 cm

SUBCHORIONIC HEMMORHAGE

• Most common abnormality seen on ultrasound
• Pool of blood between the chorion and uterine wall
• No known cause
• Varying echotexture

TREATMENT

• Placed on high-risk
• No strenuous activity
• Usually will resolve on its own