“Ultrasound Pictures Tubal Ruptur”

Clinical manifestations Tubal Rupture: lower abdominal pain; signs and symptoms may mimic hemorrhagic shock.

Diagnosis Tubal Rupture:
x History: menstrual history, including information on the intensity of menstrual
bleeding. (Most tubal ruptures are caused by an unrecognized ectopic pregnancy in adolescents and young women.)
x Sonography
x Laboratory findings, pregnancy indexx Laparoscopy, followed if necessary by laparotomy

a, b Ultrasound cases Tubal rupture in a patient with ectopic pregnancy and periadnexitis.
a Uterus (UT) with proliferative endometrium, left adnexa enlarged with a marginal
discontinuity (arrows) and retrouterine effusion (E).

b Enlarged adnexa (cursors) with an irregular internal echo pattern and a conspicuous hypoechoic mass possible an old gestational sac). A fluid rim (FL) surrounds the adnexa. With a presumptive diagnosis of abscess, laparoscopy was performed to exclude ovarian cancer, followed by laparotomy. Histologic diagnosis: periadnexitis following an old tubal abortion.

Tubal RuptureSonographic findings Tubal Rupture: uterine changes like those seen in pregnancy (enlarged uterus, proliferative endometrial changes with or without a pseudogestational sac). Free fluid around the uterus. A conceptus can often be detected.
Accuracy of sonographic diagnosis Tubal Rupture : An acute tubal rupture can be diagnosed sonographically in conjunction with the clinical findings and b-HCG. Small, older ruptures are difficult to evaluate with ultrasound. The detection of an ectopic sac establishes an extrauterine pregnancy. In the absence of this finding, ectopic pregnancy can be sonographically confirmed in 80% of cases.

jurnal radiology Tags: Rupture”Ultrasound Cases “Tubal Rupture”