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Obstetrics » Obstetrics 1st Trimester
Live ectopic pregnancy
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Author(s) :
Chaitali Shah, FRCR
Presentation A young woman presents with a two month history of amenorrhoea. She now complains of pain in the left lower quadrant for the past 24 hours.
Caption: Transverse image of the left adnexa.
Description: An ectopic gestational sac is seen in the left adnexa enclosed by a highly echogenic rim. Free fluid is also noted.
Caption: Color Doppler image of the left adnexa.
Description: A live embryo is noted, as evidenced by the color activity.
Caption: Color Doppler image of the left adnexa.
Description: Moderate peri-trophoblastic flow is noted.
Caption: Sagittal image of the pelvis.
Description: A large amount of echogenic fluid is seen in the pelvis around the uterus. This is highly suggestive of hemoperitoneum.
Differential Diagnosis Live left tubal ectopic pregnancy.
Final Diagnosis Live left tubal ectopic pregnancy.
Discussion This case is distinctive because it illustrates a well developed, live ectopic gestation accompanied by a significant degree of hemoperitoneum. These findings indicate an emergent situation requiring prompt intervention.
Follow Up An emergency left salpingectomy was performed.
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