Ruptured ectopic 8 weeks

Images by Genevieve Carbonatto   

A 32 year old lady with a previous ectopic pregnancy presents to the Emergency department with abdominal pain and spotting. The pain is severe. The following is her transabdominal scan. In the longitudinal plane, the uterus is easily identified. It is empty. Posterior to the uterus there is  a mixed large echogenic area which is coagulated blood. Sometimes blood may be mistaken for bowel in the longitudinal plane. To distinguish blood from bowel look for peristalsis. At the start of the clip, a possible ectopic gestational sac is briefly visible.

It is just possible to see an intragestational yolk sac

Fluid in peritoneal cavity is Morrison’s pouch

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