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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