A large unruptured ectopic pregnancy.
Ectopic pregnancy carries a significant mortality risk in the first trimester given the increased likelihood of rupture of large embryos. In this report, an otherwise asymptomatic woman presented with amenorrhea and a positive urine pregnancy test. Results included an elevated beta-human chorionic gonadotropin (B-hCG) of 39,947 IU/L and Transvaginal ultrasound suggestive of a 3.9 cm unruptured fallopian tube ectopic pregnancy. She underwent emergent salpingectomy without complications, confirming a 10 week, 6 days gestational age pregnancy. This exceptional case of an unruptured ectopic with crown rump length (CRL) above 2 cm illustrates the importance of early diagnosis due to the often unremarkable presentation.
Published In/Presented At
Haddaden, M., Maharaj, A., Muzzi, K., Paudel, K., & Haas, C. J. (2021). A large unruptured ectopic pregnancy. Radiology case reports, 16(5), 1204–1206. https://doi.org/10.1016/j.radcr.2021.02.048
Medicine and Health Sciences
Department of Medicine