She is now complaining of bloody, vaginal spotting and a right, lower, quadrant, cramping pain.
Pregnancy test is positive.
Vaginal ultrasound demonstrated a thick endometrial stripe, but no pregnancy was identified within the cavity. The oviduct demonstrates a fusiform swelling throughout the distal half. It appears hemorraghic. A blood clot is seen at the fibria. . In this case, the oviduct was removed, however, salpingostomy done via the laparoscope with evacuation of the ectopic pregnancy and preservation of the oviduct is preferable therapy.