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The patient, a woman in her 30s, has not menstruated for 10 weeks and arrived at our hospital with a positive pregnancy test and sudden lower abdominal pain. An ultrasound scan did not show a fetus in the uterus but revealed a retained hematoma in the left fallopian tube and an echogenic-free space in the Douglas-fossa. If imaging conclusively indicated a tubal pregnancy, we resolved to perform emergency surgery. This scenario presents an opportunity to discuss how to diagnose conditions using imaging.

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Imaging Diagnosis of Ectopic Pregnancy

  • 章节

  • 发表日期：

    2025年

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  • Yasuyuki Sonoyama,
  • Mina Asatani,
  • Suguru Sato,
  • Hidefumi Aoyama

摘要

The patient, a woman in her 30s, has not menstruated for 10 weeks and arrived at our hospital with a positive pregnancy test and sudden lower abdominal pain. An ultrasound scan did not show a fetus in the uterus but revealed a retained hematoma in the left fallopian tube and an echogenic-free space in the Douglas-fossa. If imaging conclusively indicated a tubal pregnancy, we resolved to perform emergency surgery. This scenario presents an opportunity to discuss how to diagnose conditions using imaging.