Ectopic pregnancy seen as a hematoma.In this 21-year-old woman with positive serum pregnancy test and vaginal bleeding, a complex echogenic mass (arrow) is seen in the right adnexa, which separates from the right ovary (open arrow) with applied pressure during transvaginal ultrasound. The echogenic adnexal mass is representative of a hematoma at the site of ectopic implantation. The patient was treated surgically.