Case Presentation A 39-year-old woman, who conceived via in vitro fertilization (IVF) in a same-sex relationship, underwent surgical management for a missed miscarriage. The procedure was uneventful, with an estimated blood loss of 250 mL.
She presented to the emergency department within 48 hours post-procedure with the following symptoms: Severe, contraction-like lower abdominal pain, radiating to the inner aspect of the right thigh Low-grade fever Dysuria (painful urination) Pain during defecation Normal vaginal bleeding, with no foul-smelling discharge Physical Examination Appeared distressed due to pain Vitals: Within normal limits Abdominal exam: Tenderness in lower abdomen with guarding Speculum exam: Unremarkable Bimanual exam: Bulky uterus with bilateral forniceal and uterine tenderness Laboratory Findings Hemoglobin: 126 g/L C-reactive protein (CRP): 46 mg/L (elevated)…
