Ectopic Pregnancy

History: Abnormal menses, left lower pelvic pain, pending beta-HCG

Discussion: Ectopic Pregnancy can be expected in pregnant women >6 weeks GA, with + B-hCG (>1000) and no intrauterine signs of pregnancy. An echogenic mass (embryo) in the adnexa is commonly seen. An embryo with a heartbeat in the adnexa is pathognomonic for ectopic pregnancy. Be advised, up to 35% of ectopic pregnancies have normal appearing adnexal structures. Locations for ectopic pregnancy include the fallopian tubes, cervix, ovaries, abdomen, among other rare locations.


Additional Information / Reference:
Dahnert, Radiology Review Manual, 7th ed. pg 1055