Right Tubal Ectopic Pregnancy in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1562
SMLE Question #1562
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 29-year-old G2P1 woman had laparoscopic salpingostomy for a right tubal ectopic pregnancy 3 weeks ago. She has no abdominal pain or vaginal bleeding. Serial serum β-hCG decreased initially but has plateaued on three weekly measurements. Transvaginal ultrasound shows no intrauterine pregnancy and a small right adnexal echogenic focus without free fluid. What is the most appropriate next step in management?
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