Empty uterus

pelvis long with free fluid poeterios to the ueterus. The uterine endometrium is thickened but there is no evidence of a gestational sac

A positive pregnancy test with an empty uterus increases the risk that this is an ruptured ectopic pregnancy causing FF and pre-syncope. But the differential is still wide.

You look at the adnexa on the right where the patient has maximal pain:

Colour doppler shows increased vascularity in this area:

This patient was taken to theatre and had a R salpingectomy for an ectopic pregnancy

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