Ectopic pregnancy

Case contributed by Dr Bruno Di Muzio

Presentation

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.

Patient Data

Age: 24 yrs
Gender: Female
Modality: Ultrasound

Transvaginal gray-scale US image of the left adnexa reveals an extraovarian adnexal mass with a hyperechoic tubal ring.  

Case Discussion

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.

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Case Information

rID: 12679
Case created: 30th Dec 2010
Last edited: 18th Oct 2016
Tag: ectopic
Inclusion in quiz mode: Included

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