Ectopic pregnancy

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

6 wks of amenorrhea. No complaints.

Patient Data

Age: about 25 - 30 yrs
Gender: Female
ultrasound

Normal right ovary. There is a right adenexal ring with hypervascularity.

The endometrial cavity was empty.

Left ovary and left adnexa were normal ( images not uploaded ).

High serum beta hcG was...

ultrasound

High serum beta hcG was noted after 1st USG. FU 2 wks later.

There is a right adnexal tubular structure with internal echoes - Hematosalpinx.

There is small amount of free fluid with echoes in the right adenexa - Hemoperitoneum.

The endometrial cavity is empty. Both ovaries are normal.

Case Discussion

Serial ultrasound show progression of ectopic pregnency from tubal gastational sac to tubal hemorrhage.

Surgery revealed right hematosalpinx.

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