Clinica Medica de Jesus, Pinotepa Naciona, Oax, Mexico. Hospital General de la S. S. A. Acapulco Guerrero, Mexico. Facultad de Medicina, Division de Postgrado de la Universidad Autonoma de Guerrero, Mexico. Instituto Mexicano de Diagnostico por Imagen.

This is a 27-year-old primigravida, presented to our department with a positive beta-HCG level (2.500mIU/ml). The transvaginal scan revealed an adnexal mass with irregular margins suspected from extrauterine pregnancy. The endometrium was thick, measuring 14 mm. No gestational sac was visualized intrauterine. At surgical treatment was performed and confirmed the diagnosis of the extrauterine pregnancy at the level of left uterine tube. Here are some images we obtained.

Images 1, 2. Vaginal ultrasonography - color Doppler (left) and power Doppler (right) images showing left ovary with corpus-luteal cyst and suspected heterogenous round structure with striking vascular structures in the surrounding suspected from tubal extrauterine pregnancy.

Images 3, 4. Vaginal ultrasonography - waveform gained from a vascular structure around suspected extrauterine pregnancy - non specific (image 1 - left); and 2D vaginal scan showing corpus-luteal cyst of the left ovary (left part of the picture) and sagittal plane of the uterus with thick hyperechoic endometrium (right part of the picture) - (image 2 - right).  

Images 5, 6. Perioperative photographs showing dilated left uterine tube with extrauterine pregnancy.  

Images 7, 8. Pathological specimens - left uterine tube with extrauterine pregnancy inside (left); and left uterine safter expulsion of a hemorhagic tissue of the extrauterine pregnancy (right).