Ruputured tubal ectopic on MRI

Case contributed by Dr Shailaja Muniraj

Presentation

Severe lower abdominal pain. Bleeding per vagina. Positive beta hcg.

Patient Data

Age: 30 years
Gender: Female

There is an ill defined sac like mass lesion noted in the left adenexa. Intra-lesion debris also seen, may represent a possible fetal pole / hemorrhage. Interrupted wall enhancement seen. Left ovary is not distinctly visualized.

 Moderate volume oraganised dende collection seen in the pelvis, suggestive of hemoperitoneum with blood clots.

Right ovary appears polycystic and shows no focal lesion.

Uterus is normal in size and signal intensity.  No focal mass lesion.

Myometrium shows normal signal changes.

Endometrium show minimal fluid collection. 

Intraoperative images

Photo

These images depict left tubal ruptured ectopic with organized blood clots.

Case Discussion

This is a case of left tubal ruptured ectopic with hemoperitoneum and organized blood clots

 

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