Stephen Bird

Nice images,

We use the 5mm rule as well,

However we would be guided by the clinical scenario.

I see these eccentric pregnancies from time to time and most just grow normally and look fine when they are a bit bigger.

If it is a true interstitial ectopic it will declare itself with symptoms.

If you can see the pregnancy seperate from the endometrium I am more concerned but this is NOT the case in your images so the sac may have just washed up on the top right hand corner of the endometrial cavity and is setting up a home there quite nicely.

If I can see the right corneal endometrium finish and then the sac looks disconnected from the cavity and embedded in the myometrium where the tube is entering I would be a lot more concerned.

Nearly always when they look like this one they are fine.

I presume from the history she was asymptomatic as well which is very reassuring.


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