case_images: PMC9345693_01
case_images: Longitudinal transvaginal ultrasound demonstrates an intrauterine gestational sac (red arrow) with a fetal pole (yellow arrow). Crown rump length measures 0.37 cm which correlates to the gestational age of 5 weeks and 5 days. Fetal heart rate was 128 beats per minute.
case_images: CRIOG2022-2994808.001.jpg
case_images: PMC9345693_01_CRIOG2022-2994808.001.jpg
case_images: fig1
case_images: Pelvic ultrasound showed evidence of an IUP measuring 5 weeks and 5 days with a fetal heart rate of 128 bpm (Figure 1).
case_images: Longitudinal transvaginal ultrasound of the right adnexa demonstrates a thick walled hypoechoic cystic structure (red arrow) with weak peripheral vascularity ("ring of fire"). There is no fetal pole present.
case_images: CRIOG2022-2994808.002.jpg
case_images: PMC9345693_01_CRIOG2022-2994808.002.jpg
case_images: fig2
case_images: No fetal pole was identified (Figure 2).
case_images: Longitudinal (a) and transverse (b) transvaginal ultrasound images of the right adnexa structure demonstrate possible internal echogenicity or septations (red arrow) which may represent a yolk sac or reverberation artifact.
case_images: CRIOG2022-2994808.003.jpg
case_images: PMC9345693_01_CRIOG2022-2994808.003.jpg
case_images: fig3
case_images: There was a weak "ring of fire" sign present with internal septations possibly indicative of a yolk sac (Figure 3).
case_images: Sagittal transvaginal ultrasound image of the cervix with the posterior cul-de-sac with free fluid concerning for hemorrhage (red arrow).
case_images: CRIOG2022-2994808.004.jpg
case_images: PMC9345693_01_CRIOG2022-2994808.004.jpg
case_images: fig4
case_images: There was a small volume of complex free fluid in the pelvis (Figure 4).
case_images: Intraoperative view of an enlarged uterus (U) and enlarged right fallopian tube with a purple-red hue (yellow arrow).
case_images: CRIOG2022-2994808.005.jpg
case_images: PMC9345693_01_CRIOG2022-2994808.005.jpg
case_images: fig5
case_images: Significant operative findings included an enlarged uterus, an enlarged right fallopian tube with a purple-red hue, and notable rupture with hemoperitoneum (Figures 5, 6, and 7).
case_images: Intraoperative view of an enlarged uterus (U) and enlarged right fallopian tube with hemoperitoneum from the ruptured ectopic gestation (green arrow).
case_images: CRIOG2022-2994808.006.jpg
case_images: PMC9345693_01_CRIOG2022-2994808.006.jpg
case_images: fig6
case_images: Significant operative findings included an enlarged uterus, an enlarged right fallopian tube with a purple-red hue, and notable rupture with hemoperitoneum (Figures 5, 6, and 7).
case_images: Intraoperative view of an enlarged uterus (U), right ovary (RO), and right salpingectomy (green arrow).
case_images: CRIOG2022-2994808.007.jpg
case_images: PMC9345693_01_CRIOG2022-2994808.007.jpg
case_images: fig7
case_images: Significant operative findings included an enlarged uterus, an enlarged right fallopian tube with a purple-red hue, and notable rupture with hemoperitoneum (Figures 5, 6, and 7).