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EasyObstetrics & GynaecologyEctopic pregnancyuk-plab-1

A 23-year-old woman presents to the early pregnancy unit with lower abdominal pain and light vaginal bleeding at 7 weeks gestation by dates. A urine pregnancy test is positive. Transvaginal ultrasound shows no intrauterine pregnancy and a right adnexal mass with free fluid in the pouch of Douglas. She is haemodynamically stable. What is the most likely diagnosis?

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