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A large unruptured ectopic pregnancy. - 2021

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. Copyright (c) 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.


English

ISSN: 1930-0433

Standard No.: 10.1016/j.radcr.2021.02.048 [doi] PMC8010579 [pmc] S1930-0433(21)00114-X [pii]

Subjects--Topical Terms:
IN PROCESS -- NOT YET INDEXED

Subjects--Geographic Terms:
MedStar Harbor Hospital
MedStar Union Memorial Hospital

Index Terms--Occupation:
Internal Medicine Residency

Index Terms--Function:
Case Reports