HospitalGeneral de Acapulco, Unidad Obstetrica Quirurgica, Universidad Autonoma de Guerrero, Instituto Mexicano de Ultrasonido en Medicina

This is a 23-year-old primigravida, presenting with a positive bHCG levels (2.200mIU/ml). The transvaginal scan revealed an adnexal mass with irregular margins. The endometrium was thick, measuring 12mm. No gestational sac was visualized intrauterine. There was a right image suggestive of a right ectopic pregnancy. At surgery, a 6 weeks and 3 days pregnancy was diagnosed and a gestational sac without embryo was seen.

Note the uterus and the mass

Note the ectopic pregnancy close to the right ovary

The gestational sac