A 29-year-old woman presents at 8 weeks' gestation with unilateral lower abdominal pain and light vaginal bleeding. She is haemodynamically stable. Tr...

Question

A 29-year-old woman presents at 8 weeks' gestation with unilateral lower abdominal pain and light vaginal bleeding. She is haemodynamically stable. Transvaginal ultrasound shows an empty uterus and a complex adnexal mass in the right tube with free fluid. What is the most appropriate management?

Accepted Answer

Urgent referral for surgical management of ectopic pregnancy

Answer

Expectant management with repeat ultrasound in 2 weeks

Answer

Commence methotrexate in the community without further assessment

Answer

Reassure and discharge as symptoms have settled

Answer

Start progesterone supplementation

au-amc MCQ (SBA): Ectopic pregnancy

A 29-year-old woman presents at 8 weeks' gestation with unilateral lower abdominal pain and light vaginal bleeding. She is haemodynamically stable. Transvaginal ultrasound shows an empty uterus and a complex adnexal mass in the right tube with free fluid. What is the most appropriate management?