Blighted ovum

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Anembryonic gestation
Other namesAnembryonic gestation, anembryonic pregnancy
Anembryonic gestation.jpg
Transvaginal ultrasonography showing a gestational sac with a diameter of 28 mm, corresponding to a gestational age of approximately 7 weeks and 5 days. It contains a yolk sac (protruding from its lower part) but no embryo, even after scanning across all planes of the gestational sac, thus being diagnostic of an anembryonic gestation.
Specialty Obstetrics

A blighted ovum is a pregnancy in which the embryo never develops or develops and is reabsorbed. [1] In a normal pregnancy, an embryo would be visible on an ultrasound by six weeks after the woman's last menstrual period. [2] Anembryonic gestation is one of the causes of miscarriage of a pregnancy. [3] [4] [5]

Contents

A blighted ovum or anembryonic gestation is characterized by a normal-appearing gestational sac, but the absence of an embryo. It likely occurs as a result of early embryonic death with continued development of the trophoblast. When small, the sac cannot be distinguished from the early normal pregnancy, as there may be a yolk sac, though a fetal pole is not seen. For diagnosis, the sac must be of sufficient size that the absence of normal embryonic elements is established. The criteria depends on the type of ultrasound exam performed. 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. [6]

See also

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<span class="mw-page-title-main">Miscarriage</span> Natural death and expulsion of an embryo or fetus before its independent survival

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<span class="mw-page-title-main">Amnion</span> Innermost membranous sac that surrounds and protects the developing embryo

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<span class="mw-page-title-main">Gestational sac</span> Cavity of fluid surrounding an embryo

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<span class="mw-page-title-main">Chorionic hematoma</span> Medical condition

Chorionic hematoma is the pooling of blood (hematoma) between the chorion, a membrane surrounding the embryo, and the uterine wall. It occurs in about 3.1% of all pregnancies, it is the most common sonographic abnormality and the most common cause of first trimester bleeding.

<span class="mw-page-title-main">Fetal membranes</span> Amnion and chorion which surround and protect a developing fetus

The fetal membranes are the four extraembryonic membranes, associated with the developing embryo, and fetus in humans and other mammals. They are the amnion, chorion, allantois, and yolk sac. The amnion and the chorion are the chorioamniotic membranes that make up the amniotic sac which surrounds and protects the embryo. The fetal membranes are four of six accessory organs developed by the conceptus that are not part of the embryo itself, the other two are the placenta, and the umbilical cord.

Ovarian pregnancy refers to an ectopic pregnancy that is located in the ovary. Typically the egg cell is not released or picked up at ovulation, but fertilized within the ovary where the pregnancy implants. Such a pregnancy usually does not proceed past the first four weeks of pregnancy. An untreated ovarian pregnancy causes potentially fatal intra-abdominal bleeding and thus may become a medical emergency.

<span class="mw-page-title-main">Products of conception</span>

Products of conception, abbreviated POC, is a medical term used for the tissue derived from the union of an egg and a sperm. It encompasses anembryonic gestation which does not have a viable embryo.

References

  1. Kim Mackenzie-Morris. "What is a blighted ovum?". Babycentre.co.uk. Retrieved 19 December 2013.
  2. "Blighted Ovum (Anembryonic Pregnancy): Causes & Symptoms". Cleveland Clinic. Retrieved 2024-04-02.
  3. "Blighted Ovum: Symptoms, Causes and Prevention". American Pregnancy Association. 2012-04-26. Retrieved 2017-09-09.
  4. "Blighted ovum: What causes it?". Mayo Clinic. Retrieved 2017-09-09.
  5. Hoffman, Barbara (2012). Williams gynecology. New York: McGraw-Hill Medical. p. 171. ISBN   9780071716727.
  6. Campion, Edward W.; Doubilet, Peter M.; Benson, Carol B.; Bourne, Tom; Blaivas, Michael (10 October 2013). "Diagnostic Criteria for Nonviable Pregnancy Early in the First Trimester" (PDF). New England Journal of Medicine. 369 (15): 1443–1451. doi:10.1056/NEJMra1302417. PMID   24106937.