This transverse transabdominal image of the gravid pelvis re…

This transverse transabdominal image of the gravid pelvis reveals an adnexal mass. The patient presented to the emergency room with a history of vaginal bleeding, hypertension, and excessive vomiting. Her human chorionic gonadotropin was markedly elevated. Within the uterus, a large complex mass with cystic components was identified. What is the most likely diagnosis?