Complaints about delay in menstruation

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Question

A 20-year-old patient entered the gynecological department with complaints about a delay in menstruation for 2 weeks, spotting bloody discharge from the genital tract, pain in the abdomen, more left, nausea, weakness. Bimanual examination: uterus is 7 * 6 * 7 cm, softened, left annexes are enlarged, painful, cervix has conical shape, external orifice is closed. Posterior vaginal fornix is protruding, very painful. The test for chorionic gonadotrophin is positive. Which diagnosis is probable?

Interruptured ectopic pregnancy. Exacerbation of chronic annexitis. Syndrome of polycystic ovaries. Apoplexy of the left ovary. Endometriosis.

Reference no: EM133691203

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