List five sonographic findings that suggest ectopic pregnancy.

List five sonographic findings that suggest ectopic pregnancy.

1. No intrauterine gestational sac
2. Complex or solid adnexal mass (representing the ectopic gestation)
3. Blood in the cul-de-sac (if the ectopic pregnancy has ruptured)
4. Tubal ring (a thick-walled cystic mass in the adnexa). If the sac contains a yolk sac or an embryo with cardiac activity, an ectopic pregnancy is definitely present.
5. Single layer of decidua in the endometrium (decidual reaction)