Image 3: Transvaginal sagittal section image of the uterus
Can this lesion be a gestational sac? Note the lesion is located well outside the region of the cervix, as well as clearly inside the anterior wall of the uterus in the lower segment. Observing further, one can see a small hyperechoic line extending from the sac to the endometrial lining.
Can this lesion be an adenomyotic cyst of the uterus? That is indeed a possibility but that does not correlate with the history. The findings are clearly in favor of this being a gestation sac but obviously this is not a cervical pregnancy.
Let’s look closely at the lesion.