A 23-year-old woman with a positive urine pregnancy test presents to the emergency department with acute left lower quadrant abdominal pain. A pelvic ultrasound is ordered. What is the diagnosis based on the provided sonographic images?
Ultrasound
Yes
U
D
DIAGNOSIS: Live left adnexal ectopic pregnancy
ANSWER: Ectopic pregnancy
This is an example of a live left adnexal ectopic pregnancy. Note on the provided ultrasound that no intrauterine pregnancy is identified. In the left adnexa, a fetal pole is identified which demonstrates a heart beat consistent with a live ectopic pregnancy. A yolk sac is also identified.
In cases of a ruptured adnexal ectopic pregnancy, a tubo-ovarian abscess, ovarian neoplasm and necrotic pelvic lymph node could all have similar appearances. Due to the fact that a clear fetal pole and yolk sac are identified, live left adnexal ectopic pregnancy is the diagnosis. It is also important to note that the patient has a positive urine pregnancy test which should clue you in to the correct diagnosis!
The provided pelvic ultrasound does not demonstrate an intrauterine pregnancy.
The provided pelvic ultrasound does not demonstrate an intrauterine pregnancy.
The provided pelvic ultrasound demonstrates a fetal pole in the left adnexal region which demonstrates a heart beat consistent with a live left adnexal ectopic pregnancy.
The provided pelvic ultrasound demonstrates a fetal pole in the left adnexal region which demonstrates a heart beat consistent with a live left adnexal ectopic pregnancy.
The provided pelvic ultrasound also demonstrates a yolk sac in the left adnexal region along with the live fetal pole.
The provided pelvic ultrasound also demonstrates a yolk sac in the left adnexal region along with the live fetal pole.
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