PMC9345693_01
Longitudinal transvaginal ultrasound demonstrates an intrauterine gestational sac (red arrow) with a fetal pole (yellow arrow). Crown rump length measures 0.37 cm which correlates to the gestational age of 5 weeks and 5 days. Fetal heart rate was 128 beats per minute.
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Pelvic ultrasound showed evidence of an IUP measuring 5 weeks and 5 days with a fetal heart rate of 128 bpm (Figure 1).
Longitudinal transvaginal ultrasound of the right adnexa demonstrates a thick walled hypoechoic cystic structure (red arrow) with weak peripheral vascularity ("ring of fire"). There is no fetal pole present.
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No fetal pole was identified (Figure 2).
Longitudinal (a) and transverse (b) transvaginal ultrasound images of the right adnexa structure demonstrate possible internal echogenicity or septations (red arrow) which may represent a yolk sac or reverberation artifact.
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There was a weak "ring of fire" sign present with internal septations possibly indicative of a yolk sac (Figure 3).
Sagittal transvaginal ultrasound image of the cervix with the posterior cul-de-sac with free fluid concerning for hemorrhage (red arrow).
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There was a small volume of complex free fluid in the pelvis (Figure 4).
Intraoperative view of an enlarged uterus (U) and enlarged right fallopian tube with a purple-red hue (yellow arrow).
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Significant operative findings included an enlarged uterus, an enlarged right fallopian tube with a purple-red hue, and notable rupture with hemoperitoneum (Figures 5, 6, and 7).
Intraoperative view of an enlarged uterus (U) and enlarged right fallopian tube with hemoperitoneum from the ruptured ectopic gestation (green arrow).
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Significant operative findings included an enlarged uterus, an enlarged right fallopian tube with a purple-red hue, and notable rupture with hemoperitoneum (Figures 5, 6, and 7).
Intraoperative view of an enlarged uterus (U), right ovary (RO), and right salpingectomy (green arrow).
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Significant operative findings included an enlarged uterus, an enlarged right fallopian tube with a purple-red hue, and notable rupture with hemoperitoneum (Figures 5, 6, and 7).