First AD

Second AD

What's your diagnosis in this young woman with right pelvic pain and a history of amenorrhea?

There is a rounded, thick-walled complex right adnexal mass (which is the thickened right Fallopian tube containing the ectopic pregnancy) with collection of echogenic fluid in the pouch of Douglas or cul-de-sac suggestive of hemorrhagic fluid. In addition, the uterus does not show the presence of a gestation sac but rather shows evidence of decidual change in the endometrium. All of these findings together point to a diagnosis of ectopic pregnancy in the right fallopian tube.

Pregnancy and Birth

News

Challenge your diagnostic skills with these images from a young woman with right pelvic pain and a history of amenorrhea.

Image IQ: Right Pelvic Pain, Amenorrhea

Joe Antony, MD