Ectopic pregnancy

Case contributed by Huy Sruy
Diagnosis certain

Presentation

Right pelvic pain without fever.

Patient Data

Age: 25 years
Gender: Female
ultrasound

Empty cavity endometrial cavity.

Extra-uterine, right adnexal single gestational sac, single embryo with normal cardiac activity.

Crown-rump length: 18 mm (8 weeks 5 days).

There is moderate-severe, anechoic free fluid in the pelvis.

Case Discussion

Ectopic pregnancy is any pregnancy implantation outside of the uterine cavity and can be tubal (95%) or non-tubal (5%). This is a life-threatening diagnosis.

Transabdominal and transvaginal sonography improves the detection rate and reduces or avoids misdiagnosis and missed diagnosis. Correlation with Serum beta-hCG is very important for a positive diagnosis.

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