Ruptured ectopic tubal pregnancy

Case contributed by Dalia Ibrahim
Diagnosis certain

Presentation

Acute pelvic pain.

Patient Data

Age: 25 years
Gender: Female

Left adenxal hematosalpinx and surrounding hematoma which encase the left ovary and elicits high signal on T1 and low signal on T2 WI with no post contrast enhancement.

Hemorrhagic fluid collection in the pouch of Douglas.

IUCD is seen within the uterus. No gestational sacs.

Findings in keeping with ruptured left tubal ectopic pregnancy with mild pelvic hemoperitoneum.

Case Discussion

The patient had an elevated β-hCG levels. She was rushed to the ER and underwent left salpingo-oopherectomy.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.