A 26-year-old female presents with 8 week amenorrhoea with pain in left lower abdomen. On USG thick endometrium with mass in lateral adnexa is visible. Diagnosis is likely to be:
The diagnosis of ectopic pregnancy should be considered strongly when any of the foregoing symptoms (amenorrhea followed by vaginal bleeding and abdominal pain on the affected side) are repoed by a reproductive-aged women. Transvaginal sonography and serial serum beta-hCG measurements are the most valuable diagnostic aids to confirm clinical suspicions of an ectopic pregnancy. With TVS, a gestational sac is usually visible between 4 1/2 and 5 weeks, the yolk sac appears between 5 and 6 weeks, and a fetal pole with cardiac activity is first detected at 5 1/2 to 6 weeks. Ref: Hoffman B.L., Schorge J.O., Schaffer J.I., Halvorson L.M., Bradshaw K.D., Cunningham F.G., Calver L.E. (2012). Chapter 7. Ectopic Pregnancy. In B.L. Hoffman, J.O. Schorge, J.I. Schaffer, L.M. Halvorson, K.D. Bradshaw, F.G. Cunningham, L.E. Calver (Eds), Williams Gynecology, 2e.
Ectopic pregnancy
Torsion of dermoid cyst
Tubo ovarian mass
Hydrosalpinx