Heterotopic ectopic pregnancy

Case contributed by Dr Anna Skariah

Presentation

8 weeks of amenorrhea presented to the emergency department with giddiness, hypotension and tachycardia.

Patient Data

Age: 45 years
Gender: Female
Ultrasound

Right adnexa showing a well defined oval hyperechoic area with peripheral 'ring of fire' vascularity and anechoic center containing a fetal pole. Single live intrauterine gestation is also seen .

Adnexa and pouch of Douglas showing echogenic fluid.

Case Discussion

Imaging features suggestive of heterotopic pregnancy with tubal rupture.

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