05-10-2005, 02:04 PM
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
B. Endometrial implant
C. Ovarian fibroma
D. Pelvic inflammatory disease
E. Uterine leiomyoma