Snapshot E A 24-year-old woman presents to the ED with 6 hours of severe left lower quadrant abdominal pain and some moderate vaginal bleeding. She is sexually active with 1 male partner and uses condoms occasionally. She has a history of pelvic inflammatory disease. Her last period was 7 weeks ago. A transvaginal ultrasound is performed and shows a mass in the left adnexa. Introduction Overview login to view 3 more bullets Epidemiology login to view 17 more bullets Pathogenesis login to view 1 more bullet Prognosis login to view 2 more bullets Presentation History login to view 3 more bullets Symptoms login to view 14 more bullets Physical exam login to view 7 more bullets Imaging Transvaginal ultrasound indications login to view 3 more bullets findings login to view 4 more bullets Studies Labs login to view 8 more bullets Differential Ruptured ovarian cyst login to view 5 more bullets Molar pregnancy login to view 2 more bullets Spontaneous abortion login to view 4 more bullets Treatment Medical login to view 8 more bullets Surgical login to view 7 more bullets Follow up post-treatment β-hCG levels to ensure complete destruction of trophoblastic tissue Complications Recurrent ectopic pregnancy login to view 3 more bullets Infertility login to view 6 more bullets Death login to view 5 more bullets