Sudden-onset Severe Lower Abdominal in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1594
SMLE Question #1594
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-223
Last updated: February 2026
A 32-year-old G2P1 woman at 35 weeks’ gestation presents with sudden-onset severe lower abdominal pain and moderate vaginal bleeding. Fetal movements have decreased over the last 4 hours. Abdominal examination shows a firm, tense, tender uterus, and the fundal height is larger than expected for gestational age. Cardiotocography shows recurrent late decelerations. What is the most likely diagnosis?
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