A 32 year old pregnant lady presents with vaginal bleeding for 1 day, which was associated with intermittent lower abdominal pain. Her period of amenorrhea is 9 weeks. This is her first pregnancy and her medical history is unremarkable.
An intra-uterine gestational sac with a yolk sac and fetal pole is noted. The crown rump length is compatible with the age of gestation. Fetal cardiac activity is absent. No adnexal masses or free pelvic fluid is seen.
The beta-hCG level is 51,000 mIU/ml.
B -ve (negative)
The MRI of the abdomen shows an intrauterine gestational sac compatible with the period of gestation. The uterus, fallopian tubes and ovaries appear normal. No adnexal masses or free pelvic or peritoneal fluid is seen.