Woman 20yo PARA 1001, pain at pelvis
for 3 days.
US scan ( Image 01: cross-sectional
scan at pelvis.): Uterus in normal size,
fluid around uterus.
Image 02 : longitudinal scan at
pelvis, uterus with thickening
endometrium, fluid and mass at posterior fornix.
Image 03 scan at liver shows fluid
at space of Morrison.
Image 04 and 05 are pulse Doppler at left and
right uterine arteries.
MDCT of abdomen shows fluid collection in pelvis with
high density and enlarged ovaries both sites in suspecting intraabdominal bleeding.
This patiend was sent to OB-GY
HOSPITAL for ECTOPIC PREGNANCY or LUTEINIC
CORPUSCULAR RUPTURE.
In Ob-Gy hospital, TVS ultrasound suspected ECTOPIC PREGNANCY, BLEEDING INTRAABDOMEN.
Blood test betaHCG is of 0,3 mUI/mL (n <25mUI/mL). It means not ectopic pregnancy, and she had been discharged Ob-gy hospital with diagnosis of Rupture of luteinic corpus or Mittelschmerz painful ovulation.
Blood test betaHCG is of 0,3 mUI/mL (n <25mUI/mL). It means not ectopic pregnancy, and she had been discharged Ob-gy hospital with diagnosis of Rupture of luteinic corpus or Mittelschmerz painful ovulation.
Discussion: Doppler uterine artey with typical waveform notching is not gestationa status
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