A 35 years old lady admitted after midnight with signs and symptoms of acute appendicitis according to ED physician assessment confirmed by the ultrasound done on the emergency basis. Next morning I came to assess the patient to find signs of acute appendicitis, LMP 3 weeks back (ED did not ask about this), no pregnancy test was done, the patient convinced she has acute appendicitis and seen by anaesthetist, I got suspicion something is wrong although USG report is clear for AA, I reviewed the USG pictures to find the structure is wider tube than appendix and small mass inside that tube, I requested opinion from another radiologist who confirmed my suspect, pregnancy test requested before proceeding to CT abdomen.
B-HCG result very high with dx of ectopic tubal pregnancy ( confined ) which can be treated with methotrexate and surgery has…
