Live rupturing ectopic pregnancy:


        Adnexal mass

        Fetal cardiac pulsations.

        Ipsilateral corpus luteal cyst

        Free fluid in the cul-de-sac


Tubal Ring:


        Normal right ovary.

        Tubal ring adjacent to left ovary.

        Tubal ring separate from ovary

  • No free fluid in cul-de-sac



Tubal Mass / Hematosalpinx.




Corpus Luteum adjacent to Ectopic Pregnancy



Video clip of live Ectopic Pregnancy.

Video clip of Ectopic Gestational Sac and Yolk Sac.



Live monochorionic diamniotic twin ectopic pregnancies









        Tubal Ectopic Pregnancy

        Unruptured but no fetal heartbeat.

        Ipsilateral corpus luteal cyst.
















         Ovarian Ectopic Pregnancy (rare)

  • Gestational sac, yolk sac and fetal pole seen in the ovary.
  • No fetal heart-beat could be recorded.
  • Findings confirmed at laparoscopic removal.














  1. Atri M, deStempel J, Bret P. Accuracy of transvaginal ultrasonography for the detection of hematosalpinx in ectopic pregnancy. Radiology 1993;189:727-731.
  2. Nyberg DA, Mack LA, Jeffrey RB Jr Endovaginal sonographic evaluation of ectopic pregnancy: a prospective study AJR 1987;149:1181-1186.
  3. Frates MC, Brown DL, Doubilet PM Tubal rupture in patients with ectopic pregnancy: diagnosis and transvaginal ultrasound. Radiology 1994;191:769-772.