A 24 year old woman came to the emergency department with severe abdominal pain and vaginal bleeding.A physician palpated a mass in the right fallopian tube.A pregnancy test was positive.She was taken to the OR for emergency laparotomy (exploration of the abdomen)and the right fallopian tube and mass were removed.A representative section is shown in the accompanying photomicrograph.Which one of the following is the best diagnosis?

Question

Quizplus · Accepted Answer

Ectopic pregnancies are common in the fallopian tubEThe clinical presentation in the vignette is classiCThey come to clinical attention rather quickly after implantation because the tube is so small in comparison to the growing embryo.The photomicrograph shows haemorrhage,and,most importantly,chorionic villi (CV).The embryo is not seen in this section.

A 24 Year Old Woman Came to the Emergency Department