Ruptured tubal ectopic pregnancy

Case contributed by Aishitha Salavakam


Abdominal pain and distension from 1 day. Urine beta hCG test positive.

Patient Data

Age: 20 years
Gender: Female

Transvaginal ultrasound:

No evidence of intrauterine gestational sac. 

A right adnexal mass with an empty gestational sac seen - Tubal ring sign.

Peripheral vascularity present - Ring of fire.

The right ovary with a corpus luteal cyst can be visualized separately.  

Large amount of fluid with thick internal echoes noted in the peritoneal cavity reaching upto Morrison’s pouch - Hemoperitoneum.

Case Discussion

Emergency laparotomy revealed a ruptured tubal ectopic in the right Fallopian tube. About 1100 mL of hemoperitoneum was drained. Right salpingectomy done.

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