Ruptured Ectopic Pregnancy || TVS || Ultrasound || Case 344

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Clinical Features:
A 35-year-old married female patient came with
- Amenorrhoea for 2+ months.
- Lower abdominal pain, more on the left for 3-5 days.
- H/o a miscarriage 4 months back.

Ultrasound Features:
- Adjacent to the normal sized left ovary, an irregular gestational sac with surrounding thick echogenic layer & internal dead embryo without any cardiac activity is seen.
- CRL (Crown-Rump Length) is 14.8 mm which corresponds to 7 weeks 6 days of gestation.
- A large localized heterogeneously hypoechoic collection with internal reticular pattern indicating hemorrhage is seen adherent to the left ovary.

Remember:
- Pseudo gestational sac is a common finding in ectopic pregnancy making confusion.
- A pseudosac usually lies centrally but true gestational sac doesn’t.
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