A 33-year-old woman presents to the GP with right iliac fossa pain and vaginal bleeding at 6 weeks of gestation. Transvaginal ultrasound at the EPAU s...

Question

A 33-year-old woman presents to the GP with right iliac fossa pain and vaginal bleeding at 6 weeks of gestation. Transvaginal ultrasound at the EPAU shows an empty uterus and a 3 cm right adnexal mass with a fetal heartbeat. Her serum beta-hCG is 8,500 IU/L. She is haemodynamically stable. Which is the single most appropriate management?

Accepted Answer

Surgical management (laparoscopic salpingectomy or salpingotomy)

Answer

Expectant management with serial beta-hCG monitoring

Answer

Intramuscular methotrexate

Answer

Oral mifepristone

Answer

Repeat ultrasound in 1 week

uk-drcog MCQ (SBA): Ectopic Pregnancy Management