A 26-year-old female, married for 3 years, presented with complaints of pain in lower abdomen and pelvic region since 2 days with worsening of pain 2 hours prior to presentation associated with giddiness and weakness. There was no history of fever, vomiting, constipation or any fainting episodes. On enquiry, she gave a history of amenorrhea since 48 days. Patient previously had regular cycles with no menstrual complaints.
She had undergone one pre-term lower segment caesarian section (at 8 months gestation) one year back in view of pre-term premature rupture of membranes and had a spontaneous abortion after that, at six weeks gestation, six months back. The patient got an intra-uterine contraceptive device (IUCD) inserted six months back after curettage for spontaneous abortion was done. Examination The patient was conscious and well oriented to time. Her pulse was 98/min and her BP was…
