A 33-year-old woman complains worsening abdominal pain for 4 days. She is 16 Week pregnant in her third pregnancy. The pain is in the left lower abdomen and is constant and sharp. She has taken paracetamol with little effect and she is unable to sleep due to the pain. Examination: The woman is apyrexial and pulse rate is 125/min, with blood pressure 110/68 mmHg. The uterus is palpable just above the umbilicus. There is significant tenderness over the left uterine fundal region, where it also feels firm.
The abdomen is otherwise soft and non-tender. There is voluntary guarding but no rebound tenderness. Bowel sounds are normal. Speculum examination shows a normal, closed cervix and no blood. The fetal heart-beat is heard with hand-held fetal Doppler. What is the likely diagnosis and how should be confirmed? *This case is from Docplexus editorial team for educative purpose only Source:…
