Question

A 31-year-old with amenorrhoea and lower abdominal pain is haemodynamically stable. β-hCG is positive; transvaginal ultrasound shows no intrauterine pregnancy and an adnexal mass 25 mm with no fetal heartbeat. What management is appropriate?

Accepted Answer

Single-dose methotrexate after criteria met and counselling

Answer

Expectant management only

Answer

Immediate laparotomy

Answer

COCP to stabilise pregnancy

Answer

Discharge without follow-up

Practice question

A 31-year-old with amenorrhoea and lower abdominal pain is haemodynamically stable. β-hCG is positive; transvaginal ultrasound shows no intrauterine pregnancy and an adnexal mass 25 mm with no fetal heartbeat. What management is appropriate?