Heterotopic ectopic pregnancy
8 weeks of amenorrhea presented to the emergency department with giddiness, hypotension and tachycardia.
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Right adnexa showing a well defined oval hyperechoic area with peripheral 'ring of fire' vascularity and anechoic centre containing a fetal pole. Single live intrauterine gestation is also seen .
Adnexa and pouch of Douglas showing echogenic fluid.
Imaging features suggestive of heterotopic pregnancy with tubal rupture.