No Tissue Visible in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1537

SMLE Question #1537

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 26-year-old G2P1 at 18 weeks’ gestation presents after a sudden gush of vaginal fluid followed by passage of tissue. She reports mild lower abdominal cramping, and vaginal bleeding has markedly decreased. Pelvic examination shows a closed cervical os with no tissue visible in the vagina or cervical canal. What is the most likely diagnosis?

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