A 28-year-old G 3 P 2 Pt 0 Ab 0 LC 2 female presented to the ED with complaints of cramping and vaginal bleeding. She reported that she was diagnosed with a missed abortion at a different clinic. She further added that she came to the present clinic to obtain a second opinion. Workup A transvaginal ultrasonography (TVUS) was performed which revealed a fetal pole with a crown-to-rump length that was in consistence with a GA of approximately nine weeks (Fig.
1) . Absence of fetal cardiac activity was confirmed by two physicians The patient was prescribed misoprostol as she opted for medical management She was then discharged home with advice for a follow-up at regular interval. Two months later Despite advice for a follow-up, the patient returned to the ED after two months, with complaints of scant vaginal bleeding, mild abdominal pain, light headedness, and dizziness. The patient…
