1 Day Of Left in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17692

SMLE Question #17692

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ECT-001

Last updated: February 2026
A 29-year-old G2P0 woman with a positive pregnancy test (LMP 7 weeks ago) presents with 1 day of left lower abdominal pain and light vaginal spotting. Transvaginal ultrasound shows no intrauterine gestational sac and a 4.0-cm left adnexal mass, with no fetal cardiac activity and no pelvic free fluid. She is hemodynamically stable and desires future fertility. What is the most appropriate management?

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