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MediumO&GEctopic pregnancyca-mccqe1ca-rcpsc-em

A 26-year-old woman presents with lower abdominal pain and vaginal spotting at 7 weeks by last menstrual period. She has a positive pregnancy test. Transvaginal ultrasound does not show an intrauterine pregnancy, and there is a 2.5 cm adnexal mass with free fluid in the pelvis. She is haemodynamically stable. What is the most likely diagnosis?

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