Ectopic pregnancy: tubal

Case contributed by Dr Maulik S Patel

Presentation

Presents with lower abdominal pain. History of medical termination of pregnancy pills.

Patient Data

Age: about 25 - 30 yrs
Gender: Female
Ultrasound

Empty endometrial canal. Both ovaries are normal.

Thin walled, right adnexal cyst ( gestational sac ) with an embryo without cardiac activity. There is small amount of free fluid with echoes in pelvis, right adnexa.

Diagram

CRL corresponds to LMP.

Case Discussion

Laparotomy was done. It was an ectopic pregnancy in left tube in contrast to the ultrasound finding of right adnexal pathology.

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