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163549 Pathology

A 32 year old 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?

AEctopic pregnancy
BEndometrial implant
COvarian fibroma
DPelvic inflammatory disease
Pathology
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