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Gynaecology & Obstetrics Ecotopic Pregnancy 6dcea59b

A woman complains of right-sided lower abdominal pain and mild bleeding per vagina after a POA of 6 weeks. Her general condition is satisfactory. The urine hCG test is positive. Transvaginal ultrasound scan reveals an adnexal mass 30 mm in diameter without evidence of cardiac activity, but no intrauterine pregnancy.What is the most appropriate management?

A
Perform laparoscopic salpingectomy
B
Perform laparoscopic salpingo-oophorectomy
C
Perform laparoscopic salpingotomy
D
Treat with intramuscular methotrexate
High-Yield Explanation
Ans. is d, i.e. Treat with intramuscular methotrexateIn this case, the ectopic is unrupturedSize = 3 cmNo evidence of cardiac activityAll favour medical management with methotrexate.

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