PMC9201772_01
Images of vaginoscopy. (A) Aspect of cranial vaginal mucosa showing red and pale colored patchwork. A small amount of clear yellow mucus can be seen ventrally (D69). (B) Fetal membranes and dark green mucous discharge in vagina (D71). (C) A wide uterine lumen with green mucous discharge confirming open cervix (D72).
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F1
A small amount of clear yellow mucus was seen ventrally in the cranial portion of the vagina (Figure 1A). On D71 the ultrasound confirmed that the mummy moved to the pelvic entrance and vaginoscopy showed fetal membranes and dark green mucous discharge in the vagina (Figure 1B). While in the morning of D72 the mummy was still palpable in the pelvic entrance via abdominal palpation, later that day vaginoscopy and hysteroscopy confirmed an open cervix, wide uterine lumen with dark green mucus and remnants of fetal tissue (Figure 1C).
Images of ultrasound. (A,B) A collapsed fetus in the left uterine horn with BPD of 16.8 mm surrounded by echogenic fluid (D69).
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F2
Ultrasonographic evaluation of the uterus, performed by an ECVDI diplomate, revealed a collapsed fetus in the left uterine horn (Figures 2A,B) with biparietal diameter (BPD) of 16.8 mm surrounded by echogenic fluid.
Protocol, timeline, and dose of medical treatment. AGLE dose in mg/kg BW (SC); PGF2a dose in mug/kg BW (IM); AMCA 16.7 mg/kg BW (OR).
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F3
A summary of the treatment from D69 to D72 can be found in Figure 3.