{"ops":[{"insert":"A 33 year old woman presents at 8 weeks of her first gestation complaining of cramping lower abdominal pain for 2 days, in a background of vague pelvic pain for the last week.\n\nShe received in-vitro fertilization (IVF) to become pregnant, following 3 years of primary infertility attributed to asthenozoospermia in her husband. A total of 4 embryos were implanted.\n\nA transvaginal ultrasound scan performed at 6 weeks of gestation revealed a single live intrauterine pregnancy, while a serum beta-hCG assay was found to be 10,200 mIU\/ml\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-G-034_en.png"}},{"insert":"\n"}]}
{"ops":[{"insert":"The abdominal ultrasound scan reveals a moderate amount of echogenic free fluid in the pouch of douglas. \nTransvaginal scanning reveals a 30 mm intrauterine gestational sac with cardiac activity; another gestational sac of 25 mm with cardiac activity and a hyperechoic rim is noted in the right fallopian tube, close to the right ovary.\n"}]}