{"ops":[{"insert":"A 29 year old woman presents with severe pain in the lower abdomen and right iliac fossa for 2 days.\n\nA week ago she presented with pelvic pain and vaginal bleeding, and was diagnosed with a complete miscarriage as her urine hCG test was positive and the ultrasound abdomen showed an empty uterus.\n\nHer last regular menstrual period was 6 weeks ago. A repeat urine hCG test is positive.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-G-013_en.png"}},{"insert":"\n"}]}
2
Investigate
Serum beta-hCG
{"ops":[{"insert":"The serum beta-hCG level is 1500 IU\/L.\n"}]}
Transvaginal ultrasound
{"ops":[{"insert":"A right sided adnexal mass measuring 2 x 2.5 x 2 cm is noted. There is no evidence of cardiac activity. The uterus is empty. There is no free fluid in the pelvis.\n"}]}