30/01/2026
26yrs female patient with history of lower pelvic tenderness, PV bleeding and one month Amenorrhea.
PT is positive
On scanning there's a large heterogenous collection notes at the right adnexal with no visible gestational sac and no vascularity on dopper interrogation coupled with fluid collection at the Morrison's pouch and sub-hepatic region and moderate lower abdominal fluid with floating bowels at the right side of the lower abdomen
There's also a small subserous myoma
Right Adnexal Ruptured Ectopic pregnancy
Moderate Abdominopelvic ascites
Subserous leiomyoma
Impressions ;
1. "Blob sign" with collapsed gestational sac
2. Right pelvic heterogeneous collection consistent with hematoma
3. Peritoneal collection
Features are depictive of ruptured right adnexal ectopic cyesis with haemoperitoneum and pelvic hematoma
Note: If the right o***y is well differentiated, KIV tubal ectopic pregnancy. FC🦋🥰🦅
