Hemorrhagic adnexal cyst mimicking a tubal ectopic pregnancy

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Presents with lower abdominal pain. History of medical termination of pregnancy pills.

Patient Data

Age: 25-30 years
Gender: Female
This study is a stack
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Info

Empty endometrial canal. Both ovaries are normal.

A thin-walled, right adnexal cyst with peripheral echogenicity; no cardiac activity. There is a small amount of free fluid with echoes in the pelvis and right adnexa.

Case Discussion

A laparotomy was done, which demonstrated an ectopic pregnancy in a left tube in contrast to the ultrasound finding of right adnexal pathology, which is most likely a hemorrhagic para-ovarian cyst.

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