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A 32-year-old African American female presents with pelvic pain, low back pain, and a sensation of "pulling" or "stretching" in her groin. Bimanual examination reveals a firm mass in the right adnexa. An ultrasound examination reveals the presence of fluid in the abdominal cavity and the right thoracic cavity. Which of the following conditions is most strongly suggested by this patient's presentation?


A. Ectopic pregnancy
B. Endometrial implant
C. Ovarian fibroma
D. Pelvic inflammatory disease
E. Uterine leiomyoma
CC

Thank you Smile
c thanks
c. meig syn. thanku
u got it Smile Thanks to all.
cc
CCC MEIGS syndrome

thanks