TY - BOOK AU - Haas, Christopher J AU - Haddaden, Metri AU - Maharaj, Anil AU - Paudel, Kalyan TI - A large unruptured ectopic pregnancy SN - 1930-0433 PY - 2021/// KW - IN PROCESS -- NOT YET INDEXED KW - MedStar Harbor Hospital KW - MedStar Union Memorial Hospital KW - Internal Medicine Residency KW - Case Reports N2 - Ectopic pregnancy carries a significant mortality risk in the first trimester given the increased likelihood of rupture of large embryos. In this report, an otherwise asymptomatic woman presented with amenorrhea and a positive urine pregnancy test. Results included an elevated beta-human chorionic gonadotropin (B-hCG) of 39,947 IU/L and Transvaginal ultrasound suggestive of a 3.9 cm unruptured fallopian tube ectopic pregnancy. She underwent emergent salpingectomy without complications, confirming a 10 week, 6 days gestational age pregnancy. This exceptional case of an unruptured ectopic with crown rump length (CRL) above 2 cm illustrates the importance of early diagnosis due to the often unremarkable presentation. Copyright (c) 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington UR - https://dx.doi.org/10.1016/j.radcr.2021.02.048xl - https://dx.doi.org/10.1016/j.radcr.2021.02.048 ER -