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A pregnancy complicated by endometrial scarring

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Presentation on theme: "A pregnancy complicated by endometrial scarring"— Presentation transcript:

1 A pregnancy complicated by endometrial scarring
Peter C. Klatsky, M.D., M.P.H., Nam D. Tran, M.D., Ph.D., Lori Strachowski, M.D.  Fertility and Sterility  Volume 91, Issue 6, Pages (June 2009) DOI: /j.fertnstert Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

2 Figure 1 Transvaginal ultrasound image before pregnancy. Note the interrupted endometrial stripe. A dystrophic calcification was reported but not shown here. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

3 Figure 2 (A) A 19-week gestation ultrasound showing a living fetus and placenta implanting on both sides of a large synechia. (B) Doppler imaging reveals blood flow near the synechia to the overlying placenta. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

4 Figure 3 After presenting with vaginal bleeding at 25 weeks gestation, a subchorionic hematoma is identified posterior to the adhesion. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

5 Figure 4 Follow-up imaging at 31 weeks gestation reveals a thinning scar with placenta visible on only one side. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions


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