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Pelvic TV ultrasound scan at 5 weeks of amenorrhea. The image shows an anechoic intrauterine scan compatible with a hemerion-free gestational chamber without cardiac activity and diffuse trophoblast characterized by an irregular profile. Both adnexa are normal. Reassessment is required after a week.
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After our first transvaginal (TV) ultrasound evaluation at week 6 of amenorrhea (Figure 1 and a result of a blood hCG value of 60,000 mIU/ml, it was decided to repeat a second ultrasound evaluation after one week.
Pelvic TV ultrasound at 6 weeks of amenorrhea in longitudinal (a), transverse (b), and magnified scan (c). Ultrasound scan show a small embrionary site without cardiac activity and a diffuse trophoblast with an irregular and breasted profile in its intracavitary portion. The pictures depose for internal abortion and suspected molar degeneration.
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TV ultrasound evaluation was performed on 19 October 2022, confirming the suspicion of a GTD (Figure 2). Then, we decided to hospitalize the patient and evacuate the suspected molar pregnancy.
Pelvic TV ultrasound performed after the surgical procedure (D&C with suction evacuation), showing a regular thin endometrial line.
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TV ultrasound showing a thin and regular endometrial line (Figure 3), and with all indications of follow-up examinations.