Fimbrial miscarriage in tubal ectopic pregnancy

Case contributed by Dr Maulik S Patel

Presentation

7 weeks of amenorrhoea. Mild pelvic pain.

Patient Data

Age: 25 years
Gender: Female

Uterus: Normal size,  normal myometrial echopattern.  Empty endometrial cavity

Right ovary: normal follicular pattern.

Left ovary: normal follicular pattern.

Left adnexal thin walled, anechoic cyst ( 10 x 8 mm ) is noted abutting ipsilateral ovary - Paraovarian cyst. Left adnexal thin walled, tubular / ovoid lesion ( 26 x 8 mm ) is noted abutting ipsilateral ovary. There are internal echoes in lesion without vascularity - haematosalpinx.

No adnexal mass lesion is noted on right side.

Minimal free fluid is noted in pelvis.

Ultrasound

After Ultrasound patient developed significant pain. 2nd Ultrasound was done 6 hrs later.

As compared to previous USG about 6 hrs back,

There is increased size of left hematosalpinx - about 46 x 20 mm

There is free fluid in pelvis with internal echoes

Case Discussion

Laparoscopy was done within a few hours. It showed left hematosalpinx, fimbrial miscarriage, hemoperitoneum restricted to pelvis. Tube was intact.

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Case information

rID: 42849
Case created: 11th Feb 2016
Last edited: 24th Sep 2017
System: Obstetrics
Inclusion in quiz mode: Included

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