eMedicine Specialties > Radiology > Obstetrics/Gynecology
Ectopic Pregnancy: Multimedia
Updated: Jul 18, 2008
Multimedia
 | Media file 1: Sagittal endovaginal sonogram of the uterus (same patient in Images 1-3). This image shows no evident intrauterine pregnancy. |
 | Media file 2: Endovaginal sonogram (same patient in Images 1-3). This image shows a coronal view of the adnexa. Hypoechoic fluid surrounds the fallopian tube. |
 | Media file 3: Endovaginal sonogram (same patient in Images 1-3). This image shows the tubal ring sign as well as diffuse thickening of the fallopian tube wall with minimal surrounding free fluid. |
 | Media file 4: Endovaginal sonogram (same patient as in Images 4-5). This image shows a coronal view of the pelvis. Moderate hypoechoic free fluid is associated with a large, heterogeneous, right adnexal mass. |
 | Media file 5: Endovaginal sonogram (same patient as in Images 4-5). This image shows a coronal view of a right adnexal mass. An ectopic embryo is present within the heterogeneous right adnexal mass. The cursors denote the crown-rump length. |
 | Media file 6: Endovaginal sonogram (same patient in Images 6-9). This image shows a sagittal view of the uterus with a pseudogestational sac. Reactive changes secondary to an ectopic pregnancy are seen as hypoechoic material within the endometrial canal, which is outlined by a single hyperechoic rim. This should be contrasted with the dual hyperechoic lines that represent the dual decidual sac, an indicator of a normal intrauterine pregnancy. |
 | Media file 7: Endovaginal sonogram (same patient in Images 6-9). This image shows a coronal view of the right ovary. A corpus luteum cyst mimics an ectopic pregnancy. The cursors denote a hyperechoic clot within the cyst. |
 | Media file 8: Endovaginal sonogram (same patient in Images 6-9). This image shows a sagittal view of the right ovary. A corpus luteum cyst mimics an ectopic pregnancy. The cursors denote a hyperechoic clot within the cyst. Note the thin rim of ovarian tissue surrounding the cyst. |
 | Media file 9: Endovaginal sonogram (same patient in Images 6-9). This image shows a coronal view of the right adnexa. In this patient, the true ectopic pregnancy is identified as a large, heterogeneous adnexal mass surrounded by free fluid. |
 | Media file 10: Endovaginal sonogram. This view shows a color Doppler image of the adnexa with the ring-of-fire sign. Marked hyperemia is present throughout the wall of an enlarged fallopian tube. |
 | Media file 11: Axial T2-weighted fast spin-echo magnetic resonance image of the pelvis (same patient as in Images 11-14). This image shows an abnormal fluid-containing fallopian tube (red arrow) on the right side. A simple right ovarian cyst (white arrow) is also present. |
 | Media file 12: Coronal T2-weighted fat-saturated magnetic resonance image of the pelvis (same patient as in Images 11-14). This image shows an abnormal fluid-containing fallopian tube (red arrow) on the right side. A simple ovarian cyst (white arrow) is also present on the right. |
 | Media file 13: Axial T2-weighted fast spin echo magnetic resonance image of the pelvis (same patient as in Images 11-14). After 1 week of conservative therapy, the ectopic pregnancy in Images 11-12 ruptured. A large, mixed-signal-intensity hematoma is now present in the rectouterine pouch (noted by the H and arrows). |
 | Media file 14: Axial T2-weighted gradient-echo magnetic resonance image of the pelvis (same patient as in Images 11-14). After 1 week of conservative therapy, the ectopic pregnancy in Images 11-12 ruptured. A large mixed-signal-intensity hematoma is now present in the rectouterine pouch (noted by the H and arrows). |
More on Ectopic Pregnancy |
| Overview: Ectopic Pregnancy |
| Imaging: Ectopic Pregnancy |
| Follow-up: Ectopic Pregnancy |
 Multimedia: Ectopic Pregnancy |
| References |
| Further Reading |
| « Previous Page |
References
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Further Reading
Clinical guidelines:
Undifferentiated vaginal bleeding/abdominal pain suggestive of ectopic pregnancy clinical pathway. Maine Medical Center, Department of Emergency Medicine - Hospital/Medical Center. 2006 Aug. Various pagings. NGC:005248
Medical management of ectopic pregnancy. American College of Obstetricians and Gynecologists - Medical Specialty Society. 1998 Dec (revised 2008 Jun). 7 pages. NGC:006533
Clinical studies:
Two-Dose Methotrexate for Ectopic Pregnancy
Ectopic Pregnancy Biomarkers
Risk Factors of Ectopic Pregnancy
Evaluation of Therapeutic Strategies for Treatment of Ectopic Pregnancies (EP) and Evaluation of Subsequent Fertility
Keywords
ectopic pregnancy, ectopic gestation, extrauterine gestation, heterotopic pregnancy, metacyesis, eccyesis, interstitial ectopic, cornual ectopic, cervical ectopic, fimbrial ectopic, ovarian ectopic, ovarian pregnancy, peritoneal ectopic, tubal pregnancy, abdominal pregnancy, pelvic inflammatory disease
