Advanced ectopic pregnancy

Case contributed by Dr Bruno Di Muzio

Presentation

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

Patient Data

Age: 22
Gender: Female

Obstetric ultrasound

Modality: Ultrasound

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

Case Discussion

Transvaginal gray-scale US image of the right adnexa reveals an adnexal mass with gestational sac and a normal 11 weeks embryo.

We can see a hyperechoic ring around gestational sac without an interface with other structure in most part of its contour, and a small contact with a hypoechoic structure which seems to be the right ovary (that was not found in the study).

Surgery confirms right ovarian ectopic pregnancy.

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Case Information

rID: 12862
Case created: 20th Jan 2011
Last edited: 4th Oct 2015
Tag: basic
Inclusion in quiz mode: Included

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