Ring of fire sign

Case contributed by Prashant Mudgal

Presentation

Acute abdomen and shock, the urine pregnancy test was positive.

Patient Data

Age: 20 years
Gender: Female
ultrasound

An ill defined, heterogeneously echogenic extraovarian oval mass in right adnexa, with an eccentrically located cystic structure and peripheral vascularity around it (ring of fire sign). The pelvic cavity shows moderate amount of free fluid with floating echoes within suggestive of hemorrhagic fluid.

Imaging features are suggestive of tubal ectopic pregnancy.

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