Snapshot A 24-year-old woman presents to the emergency room 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 Incidence login to view 2 more bullets Location login to view 7 more bullets Risk factors login to view 6 more bullets ETIOLOGY Pathogenesis login to view 1 more bullet Presentation History login to view 3 more bullets Symptoms login to view 15 more bullets Physical exam login to view 7 more bullets Imaging Transvaginal ultrasound login to view 9 more bullets Studies Labs login to view 9 more bullets Differential Ruptured ovarian cyst login to view 6 more bullets Molar pregnancy login to view 4 more bullets Spontaneous abortion login to view 7 more bullets Treatment Management approach login to view 1 more bullet Medical login to view 11 more bullets Surgical login to view 9 more bullets Complications Recurrent ectopic pregnancy login to view 3 more bullets Infertility login to view 6 more bullets Death login to view 5 more bullets Prognosis Life-threatening if rupture Pregnancy is non-viable