 [ Symptoms ] can you tell if an ectopic pregnancy has ruptured via ultrasound  if your doctor suspects an ectopic pregnancy and orders an ultrasound is there a way to determine if the tube has ruptured from looking at the ultrasound results [ Disease ] the answer is sometimes it really depends on the skill of the person doing and reading the ultrasound as well as corresponding blood tests like a very sensitive pregnancy test that detects levels of hcg