β-hCG positive (levels nor informed) woman comes with pelvic pain. A routine first trimester US transvaginal evaluation was performed and showed no intrauterine pregnancy, normal right ovary and a left adnexal mass. Inside this mass we can see a hyperechoic ring surrounding an extrauterine gestational sac, neither a yolk sac nor a living embryo was visualized. Tubarian pregnancy was confirmed.
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Transvaginal gray-scale US image of the left adnexa reveals an extraovarian adnexal mass with a hyperechoic tubal ring.
Early diagnosis and treatment of ectopic pregnancy are essential in reducing maternal mortality and preserving future fertility. Most patients who have an ectopic pregnancy present with a 5–9-week history of amenorrhea, mild pelvic pain, and vaginal spotting. These symptoms should trigger an evaluation for an ectopic pregnancy.