Ruptured ectopic pregnancy

Case contributed by Bijaya Shrestha
Diagnosis certain


Vaginal bleeding for 2 days. Severe abdominal pain. Multiple episodes of vomiting.

Patient Data

Age: 25 years
Gender: Female

Uterus was of normal size with normal endometrial thickness. There was no evidence of intrauterine gestational sac. A heterogeneous lesion was noted arising from the right adnexa surrounding the uterus. Ovaries were not visualized separately. Moderate free fluid with fine internal echoes noted, consistent with hemoperitoneum.

Case Discussion

The urine pregnancy test was weakly positive.

Emergency laparotomy was performed, which confirmed ruptured right ovarian ectopic pregnancy.

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