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Ectopic pregnancy

Case contributed by: Dr Bruno Di Muzio

Presentation:

24 years old female with a history of β-hCG positive (levels nor informed) cames with pelvic pain. A routine first trimester US transvaginal evaluation was made and shows no intrauterine pregnancy, normal rigth ovary and a left adnexal mass. Into this mass we can see a hyperechoic ring surrounding an extrauterine gestational sac, neither yolk sac or a living embryo was visualizated. Tubarian pregnancy was confirmed.

From the case: Ectopic pregnancy

Modality: Ultrasound

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Transvaginal gray-scale US image of the left adnexa reveals an extraovarian adnexal mass with a hyperechoic tubal ring.

Case Discussion:

Early diagnosis and treatment of ectopic pregnancy are essential in reducing maternal mortality and preserving future fertility. Most patients who have an ectopic pregnancy present with a 5–9-week history of amenorrhea, mild pelvic pain, and vaginal spotting. These symptoms should trigger an evaluation for an ectopic pregnancy.

RadioGraphics, 28, 1661-1671.