A 25-year-old woman with a history of right salpingectomy for ectopic pregnancy presents with 6 weeks of amenorrhea and pelvic pain. Transvaginal ultrasound shows an empty uterus and a 2 cm gestational sac in the right proximal tubal stump. What is the preferred surgical management for this condition?

• A Systemic methotrexate
• B Bilateral salpingo-oophorectomy
• C Total abdominal hysterectomy
• D Resection of the tubal stump with cornual resection ✓

Explanation

A stump ectopic pregnancy requires surgical excision of the residual tubal stump and cornual resection to remove the pregnancy and prevent recurrence. Methotrexate has limited efficacy due to the residual tissue. Hysterectomy and BSO are overly aggressive for a fertility-desiring patient.

Reference: Bailey and Love's Short Practice of Surgery, 28th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.