Ectopic pregnancy

Case contributed by Alexandra Stanislavsky


Pelvic pain. positive bHCG.

Patient Data

Age: 25 years
Gender: Female

Empty uterus. Solid right adnexal mass with peripheral rim of vascularity ("ring of fire"). Small volume free fluid with low-level echoes in the pouch of Douglas suggestive of hemorrhage.

Case Discussion

Typical appearance of a tubal ectopic pregnancy. The presence of hemorrhagic free fluid is suggestive of a ruptured ectopic, and should be explicitly mentioned, as it may direct management from medical to surgical.

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