Female patient ethnic Chinese that comes to Emergencies by strong pains epigastric several days of evolution Al physical examination abdominal only complains of pain in that area specifies, being abdominal palpation free of other signs. The doctor of Emergencies requests a abdominal sonography. During the exam, the only data relevant was the presence of small amount of liquid ascitic in space Hepato-renal of Morrison. Faced this data and when finding a thickened endometrium, suspected of reaction decidual, in vision pelvic via trans-abdominal, we talked to the husband and with the patient in order to that is would give us permission to do an examination trans-vaginal since woke the idea of a possible ectopic pregnancy by the ascites and an endometrium with possible reaction decidual. There was some resistance of the patient since she claimed that his last menstruation was the 30/04/2013 which threw a possible gestational age of three weeks, whereupon would not find pregnancy data by the precocity of this, however, we ignore those data and our suspicion was strengthened when the patient said that already before had had a ectopic pregnancy in left side, we know that with that antecedent is greatly increased the possibility of presenting other similar event. We ask an examination of gonadotropins chorionic and we proceeded to the examination trans-vaginal. Immediately appeared the image of sack gestational (SG) inside of mass echogenic, amorphous, localized in Annex right,para-ovarian region. The reaction decidual measured 21.8 mm and is appreciation a great Hemoperitoneum reaching the conclusion of ectopic pregnancy ruptured. The lab test was reported as positive. As appreciate the reader with few clinical data but guided by the desire to find the logical explanation to the presence of ascites in space Hepato-renal we were guided to the diagnosis true and we are prides of have contributed for that this patient save his life.
|Ascitis en Espacio Hepato-Renal de Morrison|
|Doppler del área del Embarazo Ectopico|
|Embarazo Ectopico a la Derecha Útero a la Izquierda|
|Hemoperitoneo y Reacción Decidual Uterina|
|Area Ovarica Derecha|