Question

A 29-year-old woman presents with 6 weeks of amenorrhoea and mild right iliac fossa pain. β-hCG is 2,500 IU/L. Transvaginal ultrasound shows no intrauterine pregnancy and a small right adnexal mass. She is haemodynamically stable. What is the most appropriate next step?

Accepted Answer

Refer to early pregnancy assessment service for serial β-hCG and repeat ultrasound

Answer

Discharge with reassurance and repeat pregnancy test in 6 weeks

Answer

Immediate laparotomy for salpingectomy

Answer

Terminate pregnancy medically

Answer

Start methotrexate without further assessment

Practice question

A 29-year-old woman presents with 6 weeks of amenorrhoea and mild right iliac fossa pain. β-hCG is 2,500 IU/L. Transvaginal ultrasound shows no intrauterine pregnancy and a small right adnexal mass. She is haemodynamically stable. What is the most appropriate next step?