Background: Ectopic pregnancy is the implantation of a fertilized egg outside the endometrial cavity of the uterus. Ectopic pregnancy is the leading cause of pregnancy-related death in the first trimester, accounting for 75% of maternal deaths in the first trimester and 9% to 13% of all pregnancy-related deaths. In the diagnosis of ectopic pregnancy, elevated serum levels of human chorionic gonadotropin (Beta-HCG) and uterine changes at early sonography are early indications for diagnostics. Magnetic resonance imaging (MRI) plays an important role in diagnosing and managing cases where ultrasound is inconclusive or when more accurate information is needed to make a proper diagnosis or to guide clinical management.
Case Description: There was a 30-year-old female patient with a diagnosis of G1P1A0 at 10-11 weeks gestation who came with complaints of bleeding from the vagina. In these patients, physical examination and laboratory were examined, followed by radiological examinations with transvaginal ultrasound (TVUS) and MRI, and confirmed by histopathology study.
Conclusion: MRI is not used conventionally in the diagnosis of ectopic pregnancy but can be an additional imaging modality for ultrasound. MRI is an effective diagnostic imaging alternative in cases where sonography is inconclusive or when more precise information is needed to diagnose properly or guide clinical and surgical management.