Medical expert of the article
New publications
Ultrasound signs of ectopic pregnancy
Last reviewed: 06.07.2025

All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Ultrasound signs of ectopic pregnancy
A pelvic mass in a woman of childbearing age may well be an ectopic pregnancy. Although sonography can be useful, it is not an accurate enough method to diagnose an ectopic pregnancy. Very rarely, sonography reveals a fertilized egg with an embryo located outside the uterine cavity, but most often, effusion of blood is detected in the retrouterine space, and an enlarged, fluid-filled fallopian tube is visualized.
Be careful:
- A normal ultrasound image of the pelvic organs does not exclude the presence of an ectopic pregnancy.
- In the presence of positive laboratory pregnancy test results, an unchanged echographic picture does not make it possible to exclude an ectopic pregnancy.
When a normal uterine pregnancy is detected, it is possible that there is also an ectopic pregnancy occurring at the same time.
A careful comparison of the anamnesis and clinical examination data with the echographic picture is necessary.