Tubal Ectopic Pregnancy on Transvaginal Pelvic Ultrasound A 31yo female s/p tubal ligation presents with right lower quadrant pain and lightheadedness that occurred acutely 1 hour prior at work. What is the best next step? Resolution: Surgical Intervention. There is a large (8wks ga!) right tubal ectopic pregnancy with hemoperitoneum appreciated on the sagittal view, indicating rupture. Methotrexate is contraindicated. A FAST or urine will not change management and only delay care. Labeled Schematic: https://twitter.com/EUSmkh/status/1 #Tubal #Ectopic #Pregnancy #Transvaginal #Pelvic #Ultrasound #POCUS #clinical #obgyn #obstetrics
