PMC6057319_01
TVUS image of right adnexa with corpus luteal cyst versus ectopic gestation.
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TVUS identified what appeared to be a corpus luteal cyst in the right ovary (Figure 1) and a likely ectopic pregnancy in the left adnexa (Figure 2) with a small amount of complex free fluid within the cul-de-sac.
TVUS image of left adnexa with embryonic structures consistent with an ectopic pregnancy.
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TVUS identified what appeared to be a corpus luteal cyst in the right ovary (Figure 1) and a likely ectopic pregnancy in the left adnexa (Figure 2) with a small amount of complex free fluid within the cul-de-sac.
Left tubal ectopic pregnancy (active bleeding, treated with salpingectomy).
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On pelvic survey, the left fallopian tube was noted to have a dilated distal portion, approximately 2cm in diameter with active bleeding, consistent with a ruptured left ectopic versus tubal abortion (Figure 3).
Right tubal ectopic pregnancy (treated with MTX).
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Notably, the mid-portion of the right fallopian tube appeared dilated at the junction between the isthmus and the ampulla, about 3cm in diameter, without evidence of rupture or bleeding, which was concerning a concurrent second ectopic pregnancy (Figure 4).