Primary infertility. Low grade lower abdominal pain with positive urine pregnancy test.
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Empty uterine endometrial cavity is seen.
Left adnexal extra-ovarian echogenic ring is noted. No local hypervascularity noted.
No yolk sac seen.
No free fluid noted in pelvis.
Patient with positive urine pregnancy test shows an extra-ovarian echogenic adnexal ring.
Serum Beta hCG was >20000.
Laparoscopy - left tubal ectopic.