PMC7484683_01
Hypoechoic mass in the right fallopian tube/adnexa with minimal blood flow on Doppler scan and illustration of the intrauterine pregnancy.
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Differential diagnosis included hydrosalpinx, hematosalpinx, ovarian torsion, and heterotopic pregnancy (Figure 1).
Simultaneous sonographic appearance of intrauterine and tubal ectopic pregnancy and free fluid in the Douglas pouch.
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At that time, the patient complained about pelvic pain more acute than usual alongside with nausea while the vital signs and hemoglobin level were within the normal range (Figure 2).
Hemoperitoneum. Ruptured ectopic pregnancy of the right fallopian tube.
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A single intravenous dose of antibiotics was administered intraoperatively, and immediate confirmation of fetal heartbeat of the intrauterine gestation was done postoperatively (Figure 3).
Implantation site with trophoblastic cells in the fallopian tube and chorionic villi in the lumen.
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After an uncomplicated full-term pregnancy (40 w and 1 day), a healthy, female newborn weighting 3295 g was born via a spontaneous vaginal delivery (Figure 4).