PMC5030406_01
Transverse and longitudinal ultrasound images of the uterus showing intra-abdominal hemorrhage and no intrauterine pregnancy.
CRIEM2016-7154713.001.jpg
PMC5030406_01_CRIEM2016-7154713.001.jpg
fig1
Her hemoglobin had dropped from 13.2 g/dL three days earlier to 10.8 g/dL.  Figure 1 shows the repeat pelvic ultrasound images, demonstrating a large complex fluid collection in the pelvic cul-de-sac, possibly representing a hemorrhage without evidence of an intrauterine pregnancy.