Demographics:
22 years old, Female
Indication:
Right lower quadrant pain, positive pregnancy test, LMP...
Right lower quadrant pain, positive pregnancy test, LMP: 7 weeks prior
Findings
- Cystic structure in the uterus with mean sac diameter of 2.3 cm
- No fetal pole or yolk sac is visualized
- Complex fluid in the right adnexa and cul-de-sac
- Normal appearance of the ovaries
Diagnosis
Ruptured ectopic pregnancy
Sample Report
Complex fluid in the right adnexa and cul-de-sac. In the setting of a positive pregnancy test, this finding raises concern for a ruptured ectopic pregnancy. Recommend urgent gynecologic evaluation.
Cystic structure in the uterus with mean sac diameter of 2.3 cm and surrounding decidual reaction, which may represent a pseudo-gestational sac in the setting of an ectopic pregnancy or a heterotopic pregnancy with findings suspicious for failure of the intrauterine pregnancy.
Normal appearance of the ovaries.
Discussion