Ruptured Live Tubal Ectopic Pregnancy

26 yr female presented with acute lower abdomen pain.

Ultrasound Findings:

  • No intrauterine gestational sac.
  • A gestational sac measuring 14 x 8 x 11 mm noted in right adnexa.
  • Embryo and yolk sac visualized.
  • CRL measures 3.5 mm (6 weeks).
  • Cardiac activity seen. Fetal heart rate – 86 bpm.
  • A large haematoma measuring 11 x 4 cm noted surrounding the gestational sac in right adnexa.
  • Mild haemoperitoneum noted, extending to the hepatorenal pouch.
  • Features suggestive of Ruptured Live Tubal Ectopic Pregnancy.