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HardO&GEctopic pregnancyuk-plab-1

A 33-year-old woman at 7 weeks gestation presents with lower abdominal pain and light vaginal bleeding. Her serum beta-hCG is 1500 IU/L and transvaginal ultrasound shows no intrauterine pregnancy and a 2.5 cm unruptured tubal mass with no fetal heartbeat. She is haemodynamically stable and reliable for follow-up. What is the most appropriate management?

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