Saturday, June 30, 2012

Quiz- ultrasound imaging of adult female patient

This married lady has 5 weeks amenorrhoea. She complains of pain in the pelvis but has no history of bleeding per vagina. Ultrasound images of the pelvis are shown below. What is your diagnosis? Her urine tested positive for pregnancy.
Uterus- transabdominal image:

Transvaginal images of uterus and right adnexa are shown (just above) and below:


Color Doppler images of the right adnexal region below:
The color Doppler image below shows the "leash sign".. so typical of an ectopic pregnancy. This sign suggests that instead of the ring of fire, there is a leash of vessels leading to the ectopic sac (on color Doppler imaging).