Advanced ectopic pregnancy

Case contributed by Dr Bruno Di Muzio


History of pregnancy (β-hCG positive) and mild pelvic pain for the last 24 hours. No vaginal spotting.

Patient Data

Age: 22 years
Gender: Female

Obstetric ultrasound

Transvaginal gray-scale US image reveals an adnexal mass with gestational sac and a normal live 11 weeks embryo within.  

Case Discussion

Transvaginal US images reveal an adnexal mass with gestational sac and a normal 11 weeks embryo. The right ovary was not identified in the study.  

Surgery and anatomopathological study have confirmed right ovarian ectopic pregnancy.

Ovarian ectopic pregnancy is rare, estimated ranging from 0.5 to 3.0% of all ectopic gestations 1. The ovaries are described with a capacity to accommodate an ectopic pregnancy without rupture for longer than the tubes, such as in this case, although about 75% of the ovarian gestations will rupture in the early first trimester 1

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Case information

rID: 12862
Case created: 20th Jan 2011
Last edited: 24th Sep 2017
System: Obstetrics
Tag: basic
Inclusion in quiz mode: Included

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