Tubal ectopic pregnancy

Case contributed by Abdulmajid Bawazeer
Diagnosis certain


The patient came for early pregnancy routine exam with no abdominal pain or vaginal bleeding.

Patient Data

Age: 35 years
Gender: Female

There is a right adnexal cyst separated from the right ovary with a peripheral thick wall surrounded by significant color flow (ring of fire sign), the cyst appears within the right fallopian tube.
The uterine cavity shows no evidence of intrauterine gestational sac with endometrial thickness of about 7 mm. 
No free fluid in pelvis or Morison pouch.

Case Discussion

In keeping with a positive pregnancy test and sonographic signs, features are of right tubal ectopic pregnancy (gestational sac measuring 1.4 cm = 6 w and 2d). No symptoms or ultrasound findings of ectopic pregnancy complication.

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