GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info

Advanced ectopic pregnancy

Case contributed by Bruno Di Muzio
Diagnosis almost certain


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

Patient Data

Age: 20 years
Gender: Female

Obstetric ultrasound


Transvaginal grey-scale US image reveals an adnexal mass with gestational sac and a normal live 11 weeks embryo within. Normal heart beat of the embryo demonstrated. The uterus has normal size and an empty endometrial cavity. No signs of hemoperitoneum. 

Case Discussion

Transvaginal US images reveal a right adnexal mass with gestational sac and a normal 11-week embryo. The ovary itself was not identified on imaging. 

Surgery and anatomopathological study 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 ovarian gestations will rupture early in the first trimester 1

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.