Continuous Leakage Of Clear in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11056
SMLE Question #11056
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 26-year-old primigravida at 29 weeks’ gestation presents to the emergency obstetric unit with continuous leakage of clear fluid per vaginam for 7 days. Over the last 12 hours, she developed worsening lower abdominal pain, chills, and malaise. Speculum examination shows copious purulent, foul-smelling vaginal discharge. The uterus is tender on palpation. There is no vaginal bleeding, and chest examination is clear. What is the most likely diagnosis?
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