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Pelvis » Female Pelvis (Gynecology)
Live Ectopic pregnancy
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Author(s) :
Juan Acosta
 
Presentation A 31-year-old G2,P1 presents with 7 weeks of amenorrhoea and abdominal pain. The pregnancy test was positive. An ultrasound of the pelvis was performed.
 
 
Caption: Spectral waveform of the cardiac activity in the ectopic embryo
Description: This is a video clip demonstrating the cardiac activity that can be recorded in this ectopic embryo.
 
 
 
Caption: Color Doppler image of the right adnexa
Description: Cardiac activity can be demonstrated by color in this image, indicating that it is a live ectopic gestation.
 
 
 
Caption: Endovaginal image of the uterus
Description: A pseudo-gestational sac is seen in the uterine cavity. The endometrium appears highly thickened.
 
 
 
Caption: Endovaginal scan
Description: Free fluid is noted in the Pouch of Douglas.
 
 
Caption: Video of the embryo located within the tube
Description: A tubal ectopic gestation is noted in this video clip. Cardiac activity can be seen in the embryo. The right fallopian tube is distended with debris and blood.
 
 
 
Caption: Sagittal scan of the right adnexa
Description: A complex right adnexal mass is noted, consisting of a debris filled right fallopian tube and an ectopic gestational sac with an embryo inside.
 
Differential Diagnosis Live Ectopic pregnancy
 
Final Diagnosis Live Ectopic pregnancy
 
Follow Up An urgent laparoscopy was performed. The tubal pregnancy was confirmed and a right salpingectomy was performed.
 
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