View larger version (67K):
[in this window]
[in a new window]
|
A 33-year-old woman, para 2, presented to the emergency department with a report of vaginal bleeding and abdominal pain of several days' duration. She had no history of pelvic inflammatory disease. Right adnexal tenderness was noted on physical examination. On screening, the serum  human chorionic gonadotropin level was 47,281 IU per liter, corresponding to an embryonic gestational age of six weeks. Ultrasonography demonstrated free fluid in the peritoneum, an empty uterus, and a right adnexal mass containing a gestational sac and live embryo. During emergency laparoscopy, the surgeon viewed the right ovary, which contained an intact chorion, and a 2 . . . [Full Text of this Article] |
Previous
