ULTRASOUND APPEARANCE OF THE ENDOMETRIUM AND CLINICAL CORRELATION IN A CASE OF AMENORRHEA

Abstract

The subject of this paper is the presentation of a clinical case of amenorrhea in a young woman with regular menstrual cycles and a positive pregnancy test. The ultrasound examination of the uterus at 5 weeks and 1 day after the last menstruation showed the absence of a gestational sac and a thin and hypoechoic endometrium. Since the pregnancy test was positive, the ultrasound examination was repeated after 7 days. During this interval, the patient presented a hemorrhage. The ultrasound performed 4 days after showed a thin endometrium with medium echogenicity. Repeating at 48 hours the measurement of the human chorionic gonadotrophin hormone showed low values that decreased, which correlated with the clinical and ultrasound aspects confirmed the diagnosis of early pregnancy failure.