Tubal Ectopic Pregnancy on Transvaginal Pelvic Ultrasound

A 31yo female s/p tubal ligation presents with right lower quadrant pain and lightheadedness that occurred acutely 1 hour prior at work. What is the best next step?

Resolution: Surgical Intervention. There is a large (8wks ga!) right tubal ectopic pregnancy with hemoperitoneum appreciated on the sagittal view, indicating rupture. Methotrexate is contraindicated. A FAST or urine will not change management and only delay care.

Labeled Schematic: https://twitter.com/EUSmkh/status/1196790406333091842

#Tubal #Ectopic #Pregnancy #Transvaginal #Pelvic #Ultrasound #POCUS #clinical #obgyn #obstetrics
Contributed by

Meghan Kelly Herbst, MD
UCONN Associate Professor in Emergency Medicine. Ultrasound Fellowship Yale 2011. Family, patients, education, running = my life. https://twitter.com/EUSmkh | https://www.instagram.com/eus_mkh/

Related content