Demographics:
35 years old, Female
Indication:
Pregnant, right lower quadrant pain, history of Cesarea...
Pregnant, right lower quadrant pain, history of Cesarean section, beta-hCG: 4510 mIU/mL
Findings
- 1.4 cm gestational sac adjacent to the right ovary containing a yolk sac measuring 0.4 cm and a fetal pole measuring 0.7 cm
- Cardiac activity is observed with heart rate of 134 beats/minute
- Estimated gestational age by crown-rump length is 6 weeks, 4 days
- Small amount of heterogeneous debris in the endometrial canal without discrete intrauterine gestational sac identified
- Myometrial thickening and heterogeneity anteriorly in the uterine fundus with mild associated distortion of the endometrial canal, which may relate to a uterine fibroid or focal adenomyosis
- Cesarean section scar in the lower uterine segment anteriorly
- Bilateral ovarian follicles with a possible corpus luteum on the right
- Preserved arterial and venous waveforms in both ovaries on spectral Doppler tracings
- Trace free fluid layering in the cul-de-sac
Diagnosis
Ectopic pregnancy
Sample Report
Right adnexal (likely tubal) ectopic pregnancy with gestational age of 6 weeks, 4 days estimated based on crown-rump length. Heart rate: 134 beats/minute.
No intrauterine pregnancy is identified.
Trace free fluid layering in the cul-de-sac.
Discussion