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The gestational sac is spherical in shape, and is usually located in the upper part (fundus) of the uterus.By approximately nine weeks of gestational age, due to folding of the trilaminar germ disc, the amniotic sac expands and occupy the majority of the volume of the gestational sac, eventually reducing the extraembryonic coelom (the gestational sac or the chorionic cavity) to a thin layer ...
Transabdominal ultrasonography – Ultrasound is performed across the abdominal wall or through the abdominal cavity; In normal state, each body tissue type, such as liver, spleen or kidney, has a unique echogenicity. Fortunately, gestational sac, yolk sac and embryo are surrounded by hyperechoic (brighter) body tissues.
Generally, a transvaginal ultrasound is used to investigate a suspected case of blighted ovum. [2] [7] A pregnancy is anembryonic if a transvaginal ultrasound reveals a sac with a mean gestational sac diameter (MGD) greater than 25 mm and no yolk sac, or an MGD >25 mm with no embryo. [9]
The yolk sac is the first element seen within the gestational sac during pregnancy, [1] usually at three days gestation. The yolk sac is situated on the front ( ventral ) part of the embryo ; it is lined by extra-embryonic endoderm , [ 3 ] outside of which is a layer of extra-embryonic mesenchyme , derived from the epiblast.
With obstetric ultrasonography the gestational sac (intrauterine fluid collection) can be visualized at 4.5 to 5 weeks gestation, the yolk sac at 5 to 6 weeks gestation, and fetal pole at 5.5 to 6 weeks gestation. Ultrasound is used to diagnose multiple gestation, which cannot be diagnosed based on the presence of hCG in urine or blood. [15]
The fetal pole is a thickening on the margin of the yolk sac of a fetus during pregnancy. It is usually identified at six weeks with vaginal ultrasound and at six and a half weeks with abdominal ultrasound. [1] However, it is not unheard of for the fetal pole to not be visible until about 9 weeks.
Ultrasound showing a subchorionic hemorrhage [1] Chorionic hematoma is the pooling of blood ( hematoma ) between the chorion , a membrane surrounding the embryo , and the uterine wall . [ 2 ] It occurs in about 3.1% of all pregnancies , [ 2 ] it is the most common sonographic abnormality and the most common cause of first trimester bleeding .
There is a correlation between having a single yolk sac and having a single amniotic sac. [1] However, it is difficult to detect the number of yolk sacs, because the yolk sac disappears during embryogenesis. [1] Cord entanglement and compression generally progress slowly, allowing parents and medical caregivers to make decisions carefully. [4]
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