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Reveal the Solution reveal the solution

History

23 yo female with 4 day history of pelvic pain and vaginal bleeding. Had beta-HCG at outside institution of 1217 at initial presentation and now has beta-HCG of 1319. Had "negative" US at initial presentation also.

CT Images

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Ultrasound Images

Multiple grey scale and doppler images

Questions

Reveal the Solution reveal the solution

  1. All of the following result in an increased risk for this process EXCEPT:
    Smoking
    Endometriosis
    Family h/o ovarian cancer
    Pelvic Inflammatory Disease
    In utero DES exposure
  2. True or False: This patient will likely be managed medically.
  3. What is the most likely diagnosis? Please be very specific

 


Last updated: 9/25/2017
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