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A sexually active, 35-year-old female presents with a 2-day history of increasing RLQ pain. She states that she has a history of tubal ligation reversal 4 months ago and has been actively trying to get pregnant with her new husband. She has not taken a pregnancy test and denies fever. Assessment reveals rebound tenderness and spotting vaginal bleeding. All of the following could cause the patient’s symptoms EXCEPT:

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A sexually active, 35-year-old female presents with a 2-day history of increasing RLQ pain. She states that she has a history of tubal ligation reversal 4 months ago and has been actively trying to get pregnant with her new husband. She has not taken a pregnancy test and denies fever. Assessment reveals rebound tenderness and spotting vaginal bleeding. All of the following could cause the patient’s symptoms EXCEPT:






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