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Pathology
A 22-year-old woman presents to the emergency room with a 2-hour history of acute abdominal pain and vaginal bleeding. Her vital signs are normal. Physical examination reveals blood oozing from the vaginal opening. Laparotomy shows an enlarged right fallopian tube with hemorrhage and rupture. What is the most likely cause of hemorrhage in this patient?
Choriocarcinoma
Ectopic pregnancy
Infarcted tubal polyp
Intramural leiomyoma
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