Images Bashir Chakar, text Genevieve Carbonatto A 36 year old lady presents with sudden onset of right lower quadrant pain lasting 20 minutes. One hour later she experiences further abdominal pain prompting her presentation to the Emergency Department. She has had 2 positive home pregnancy tests. On examination she is minimally tender in her right Read more about Ruptured ectopic, pseudosac[…]
Images Evy Panos, Text Genevieve Carbonatto A 32 year old lady presents by ambulance to the Emergency Department in shock. She describes having felt dizzy but not unwell and then suddenly collapsed. She remembers being escorted in a wheelchair into an ambulance. She is 19 weeks pregnant and has had a recent normal ultrasound scan. Read more about Heterotopic pregnancy[…]
Images Nick Sidler, text Genevieve Carbonatto A 32 year old woman presents to the ED with her husband and 5.00 am. The woman is clearly unwell. She is directed straight to the resuscitation bay. Her husband tells you that shortly before 4.00 am she awoke with severe acute abdominal pain. He says she is pregnant Read more about Pitfall: Ruptured cornual 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 and 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[…]
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[…]
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[…]
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” appearance. This can be present around a Read more about Unruptured left ectopic 7 weeks[…]