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- Title
VP01.22: Cramp‐like abdominal pain: a light symptom, a big problem!
- Authors
Mitidieri, M.; Camarda, A.; Boninu, F.; Danese, S.; Benedetto, C.; Sciarrone, A.; Picardo, E.
- Abstract
A 32-year-old woman nullipara at 8 weeks of gestation presented with moderate cramping abdominal pain and light metrorrhagia. (1,2) Early diagnosis is often challenging because of the absence of clinical symptoms (3), because the size of the stimulated ovaries is bigger than normal (average measures 40 × 30 × 20 mm in fertile women) and the follicles are very vascularised and grown up (4).These patients require pelvic ultrasonography and follow-up, like in our case, to definitively exclude heterotopic pregnancy. Ultrasonography showed a live intrauterine fetus at 11 weeks of gestation and an additional left-sided adnexal extrauterine pregnancy, both with cardiac activity (figures 2, 3).
- Subjects
ABDOMINAL pain; ECTOPIC pregnancy; TRANSVAGINAL ultrasonography; SYMPTOMS; REPRODUCTIVE technology
- Publication
Ultrasound in Obstetrics & Gynecology, 2021, Vol 58, p95
- ISSN
0960-7692
- Publication type
Article
- DOI
10.1002/uog.24031