PMC2778945_01
Computed tomography (CT) imaging of the abdomen revealing a 2.2 cm complex cystic structure 2 cm inferior to the inferior hepatic border which was suspicious for an ectopic abdominal gestational sac.
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CT scan of the chest, abdomen, and pelvis was performed to look for evidence of a possible hormone-secreting tumor or abdominal pregnancy causing the rising quantitative hCG levels. Computed tomography (CT) imaging of the abdomen revealed a 2.2 cm complex cystic structure 2 cm inferior to the inferior hepatic border which was suspicious for an ectopic abdominal gestational sac (Figure 1).
Initial ultrasound image of infrahepatic region of the abdominal wall noting a gestational sac with yolk sac and fetal pole.
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Fetal cardiac activity was demonstrated at 167 beats per minute (Figure 2).
Intralesion injection of the gestational sac using a guided transducer.
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A 10 cm, 20-gauge Chiba needle was then advanced into the gestational sac and appeared to be within the fetal pole (Figure 3).