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Insights into Imaging
Fig. 17 | Insights into Imaging

Fig. 17

From: Cross-sectional imaging of acute gynaecologic disorders: CT and MRI findings with differential diagnosis—part I: corpus luteum and haemorrhagic ovarian cysts, genital causes of haemoperitoneum and adnexal torsion

Fig. 17

MRI of a ruptured first-trimester ectopic pregnancy in a 44-year-old woman with acute abdominal pain and elevated β-hCG levels. Sagittal (a) and oblique-coronal (b) T2-weighted images show a tubular left adnexal mass (arrowheads) containing a gestational sac in the isthmus of the fallopian tube (arrows). On oblique-coronal fat-suppressed T1-weighted image (d), the distended fallopian tube displays a thick hyperintense wall (arrow) consistent with haematosalpinx. Additionally, sagittal T2-weighted image (c) demonstrates a predominantly low-signal haemorrhagic fluid collection (asterisk) in the pouch of Douglas. Note the empty endometrial cavity (thin arrow)

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