What is the likely diagnosis, in such an acute presentation?
In view of adnexal heterogenous mass and moderate amount of fluid with floaters the possibility of ruptured ectopic pregnancy is a likelihood.
What other biochemical marker may have aided in diagnosis?
Serum Beta -hCG or urine pregnancy test is positive in such cases.
USG showed free fluid in both paracolic gutters with internal echoes. Hyperechoic material seen around uterus (arrows).