Question

A 28-year-old woman with suspected ectopic pregnancy has positive urine hCG, lower abdominal pain, and vaginal spotting. Transvaginal scan shows no intrauterine pregnancy and adnexal mass 18 mm with free fluid; haemodynamically stable. Best management?

Accepted Answer

Immediate laparoscopic salpingectomy

Answer

Expectant management

Answer

Single-dose methotrexate

Answer

Progesterone-only pill and review

Answer

Oral antibiotics and review 48 h

Practice question

A 28-year-old woman with suspected ectopic pregnancy has positive urine hCG, lower abdominal pain, and vaginal spotting. Transvaginal scan shows no intrauterine pregnancy and adnexal mass 18 mm with free fluid; haemodynamically stable. Best management?