Pitfall: Blood clots in ruptured ectopic pregnancy

Images and text Genevieve Carbonatto It is a busy Thursday evening in the Emergency Department. There is no place to put patients and assess them.  The only bay which may be available is occupied by a lady who  refuses to leave the bay because she feels so ill. You call the nurses and together you Read more about Pitfall: Blood clots in ruptured ectopic pregnancy[…]

Pitfall: Painless ruptured ectopic pregnancy

Images Mark Russel, text Genevieve Carbonatto A 35 year old women  presents to the Emergency Department for a review of a possible ectopic pregnancy. She is 7 weeks pregnant by dates. An outpatient scan was performed the day before for painless vaginal bleeding . It did not show an intrauterine gestational sac. A complex left Read more about Pitfall: Painless ruptured ectopic pregnancy[…]

Ruptured ectopic pregnancy

Images Sarah Vaughan (Emergency Registrar) Text Genevieve Carbonatto A young 30 year old lady is brought in by ambulance with acute onset severe lower abdominal pain. The first thing you want to exclude is a ruptured ectopic. On arrival she is pale and looks shocked. She says she had a positive pregnancy test 2 days Read more about Ruptured ectopic pregnancy[…]

Ruptured right ectopic, 7 weeks

Images by Genevieve Carbonatto A 7 week pregnant lady presents to the Emergency department with sudden onset of severe abdominal pain. Her BP is 100/80. She is pale and sweaty. She is directed immediately to the resuscitation room. This is her pelvic scan. A  small gestational sac is visible in the right adnexa  with a visible Read more about Ruptured right ectopic, 7 weeks[…]

Unruptured left ectopic 7 weeks

  Images by Genevieve Carbonatto A 7 week pregnant lady presents to the Emergency department with spotting. A scan through the pelvis demonstrates an empty uterus and what looks like a CL cyst or an ectopic tubal pregnancy in the left adnexa. Colour Doppler demonstrates a  “ring of fire” of fire appearance. This can be present Read more about Unruptured left ectopic 7 weeks[…]

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 Read more about Ruptured ectopic 8 weeks[…]