PMC3335668_01
15 mm endometrial thickness and 11 x 9 mm cornual gestational sac.
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Our first beta HCG value was 22000 mIU/mL and TVUSG showed an empty uterine cavity, a 15 mm endometrial thickness, no free fluid in the cul-de-sac, and a right cornual gestational sac with a diameter of 11 x 9 mm including a suspicious embryonic pole with a yolc sac (Figure 1).
14 x 10 mm cornual gestational sac despite two systemic and one local MTX injection.
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Seven days after second MTX injection, beta HCG value decreased to 22248 mIU/mL; however, gestational sac was observed to get enlarged to 14 x 10 mm dimensions (Figure 2).
6 x 6 mm cornual gestational sac after second local and third systemic MTX injection.
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After the procedure the sac diameter was 6 x 6 mm (Figure 3).
Regular endometrial ring and 27 x 20 mm myometrial cystic area near of first distorted 8 x 6 mm gestational sac residue.
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On the third week of followup, the bigger cystic area reached 27 x 20 mm diameter; however, patient had no complaint and was stable (Figure 4).