File:Blob sign of ectopic pregnancy.png
Summary
<a href="https://en.wikipedia.org/wiki/Vaginal_ultrasonography" class="extiw" title="en:Vaginal ultrasonography">Vaginal ultrasonography</a> image of a <a href="https://en.wikipedia.org/wiki/blob_sign" class="extiw" title="en:blob sign">blob sign</a> of <a href="https://en.wikipedia.org/wiki/ectopic_pregnancy" class="extiw" title="en:ectopic pregnancy">ectopic pregnancy</a>.
Case description
The otherwise healthy 31 year old woman had begun to feel symptoms of pregnancy, including breast tenderness. A urine pregnancy was positive. However, three months prior she had a <a href="https://en.wikipedia.org/wiki/Mirena" class="extiw" title="en:Mirena">Mirena</a> intrauterine device inserted, which thus made the probability of an intrauterine pregnancy very unlikely.
The vaginal ultrasonography showed the image as displayed, including a spherical mass (or "blob") close to the right ovary. The intrauterine device was in optimal location within the uterine cavity. There was no trace of a <a href="https://en.wikipedia.org/wiki/gestational_sac" class="extiw" title="en:gestational sac">gestational sac</a> within the uterus. Serum <a href="https://en.wikipedia.org/wiki/human_chorionic_gonadotrophin" class="extiw" title="en:human chorionic gonadotrophin">hCG</a> was 1254 IU/L, at which level any intrauterine pregnancy is usually seen with the ultrasonography device. A cross-section of the Mirena is shown within the uterine cavity, leaving an ultrasound shadow distally to it.
A diagnosis of ectopic pregnancy was made. <a href="https://en.wikipedia.org/wiki/Laparoscopy" class="extiw" title="en:Laparoscopy">Laparoscopy</a> was performed, and showed a <a href="https://en.wikipedia.org/wiki/fallopian_tube" class="extiw" title="en:fallopian tube">fallopian tube</a> that was swollen and bluish as by circulatory obstruction. There was 40-50 milliliters of fluid within the <a href="https://en.wikipedia.org/wiki/rectouterine_pouch" class="extiw" title="en:rectouterine pouch">rectouterine pouch</a> and around the uterus. The affected tube was removed by <a href="https://en.wikipedia.org/wiki/salpingectomy" class="extiw" title="en:salpingectomy">salpingectomy</a>.
The postoperative phase was uncomplicated.
Licensing
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File history
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| Date/Time | Thumbnail | Dimensions | User | Comment | |
|---|---|---|---|---|---|
| current | 11:49, 7 January 2017 | | 1,600 × 690 (337 KB) | 127.0.0.1 (talk) | <a href="https://en.wikipedia.org/wiki/Vaginal_ultrasonography" class="extiw" title="en:Vaginal ultrasonography">Vaginal ultrasonography</a> image of a <a href="https://en.wikipedia.org/wiki/blob_sign" class="extiw" title="en:blob sign">blob sign</a> of <a href="https://en.wikipedia.org/wiki/ectopic_pregnancy" class="extiw" title="en:ectopic pregnancy">ectopic pregnancy</a>. <h2><span class="mw-headline" id="Case_description">Case description</span></h2> <p>The otherwise healthy 31 year old woman had begun to feel symptoms of pregnancy, including breast tenderness. A urine pregnancy was positive. However, three months prior she had a <a href="https://en.wikipedia.org/wiki/Mirena" class="extiw" title="en:Mirena">Mirena</a> intrauterine device inserted, which thus made the probability of an intrauterine pregnancy very unlikely. </p> <p>The vaginal ultrasonography showed the image as displayed, including a spherical mass (or "blob") close to the right ovary. The intrauterine device was in optimal location within the uterine cavity. There was no trace of a <a href="https://en.wikipedia.org/wiki/gestational_sac" class="extiw" title="en:gestational sac">gestational sac</a> within the uterus. Serum <a href="https://en.wikipedia.org/wiki/human_chorionic_gonadotrophin" class="extiw" title="en:human chorionic gonadotrophin">hCG</a> was 1254 IU/L, at which level any intrauterine pregnancy is usually seen with the ultrasonography device. A cross-section of the Mirena is shown within the uterine cavity, leaving an ultrasound shadow distally to it. </p> <div class="thumb tright"><div class="thumbinner" style="width:222px;"> <a href="//commons.wikimedia.org/wiki/File:Histopathology_of_blob_type_of_ectopic_pregnancy.jpg" class="image"><img alt="" src="https://upload.wikimedia.org/wikipedia/commons/thumb/1/1a/Histopathology_of_blob_type_of_ectopic_pregnancy.jpg/220px-Histopathology_of_blob_type_of_ectopic_pregnancy.jpg" width="220" height="165" class="thumbimage" srcset="https://upload.wikimedia.org/wikipedia/commons/thumb/1/1a/Histopathology_of_blob_type_of_ectopic_pregnancy.jpg/330px-Histopathology_of_blob_type_of_ectopic_pregnancy.jpg 1.5x, https://upload.wikimedia.org/wikipedia/commons/thumb/1/1a/Histopathology_of_blob_type_of_ectopic_pregnancy.jpg/440px-Histopathology_of_blob_type_of_ectopic_pregnancy.jpg 2x" data-file-width="1600" data-file-height="1200"></a> <div class="thumbcaption"> <div class="magnify"><a href="//commons.wikimedia.org/wiki/File:Histopathology_of_blob_type_of_ectopic_pregnancy.jpg" class="internal" title="Enlarge"></a></div>Macroscopic histopathology the fallopian tube and ectopic pregnancy, with no distinguishable fetal parts.</div> </div></div> <p>A diagnosis of ectopic pregnancy was made. <a href="https://en.wikipedia.org/wiki/Laparoscopy" class="extiw" title="en:Laparoscopy">Laparoscopy</a> was performed, and showed a <a href="https://en.wikipedia.org/wiki/fallopian_tube" class="extiw" title="en:fallopian tube">fallopian tube</a> that was swollen and bluish as by circulatory obstruction. There was 40-50 milliliters of fluid within the <a href="https://en.wikipedia.org/wiki/rectouterine_pouch" class="extiw" title="en:rectouterine pouch">rectouterine pouch</a> and around the uterus. The affected tube was removed by <a href="https://en.wikipedia.org/wiki/salpingectomy" class="extiw" title="en:salpingectomy">salpingectomy</a>. </p> The postoperative phase was uncomplicated. |
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