A female presented with 6 weeks of amenorrhea, a positive pregnancy test, and lower abdominal mild pain. Ultrasound shows a left adnexal live ectopic pregnancy corresponding to the period of amenorrhea.
Laparoscopy was done after a few hours; left salpingectomy was done. There is an exophytic lesion from the uterus in intraoperative photos which is a subserosal fibroid ( reported during 1st pregnancy ). However, this fibroid was missed during present ultrasound which makes this case an example of satisfaction of search error.
Intraoperative photos courtesy: Treating Dr. Drashti Patel.