Live Tubal Ectopic Pregnancy

Patient presented with acute abdominal pain, mainly on the right side. Clinically it was suspected as acute appendicitis.

Ultrasonography shows normal upper abdomen sonography.

In the pelvis significant free fluid seen with internal echos in the fluid.

Uterus was normal with normal endometrial thickness and very minimal fluid in the endometrial cavity.

Both ovaries were normal. 
In the right adenaxa there was a well defined intact gastational sac with yolk sac and feotal pole in it. 
Real time sonography shows normal cardiac activity in the feotal pole. 
Colour doppler study shows colour flow in the feotal heart.

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