23-year-old Primigravida in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16678

SMLE Question #16678

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 23-year-old primigravida at 9 weeks’ gestation has mild intermittent right pelvic pain. Examination finds a mobile, non-tender right adnexal mass. Transvaginal ultrasound shows a viable intrauterine pregnancy and a 4 cm thin-walled unilocular right ovarian cyst without solid areas or free fluid. She is hemodynamically stable. What is the most appropriate management?

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