Case of the Month: November 2010
Submitted by Jason Merchant, MD, and Ashley Wachsman, MD
Initial Presentation
- 30 year old female 9 weeks pregnant complaining of acute onset of right lower quadrant pain for one day. No other significant past medical history.
- Shown below are select ultrasound images of the pelvis:
Uterus 1

Uterus 2

Doppler Right Adnexal Region

Doppler Left Adnexal Region

Question: Where is the abnormality?
- Fetus
- Only right adnexal region
- Only left adnexal region
- Bilateral adnexal regions
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