24 Hours Of Localized in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18111
SMLE Question #18111
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-OBG-001
Last updated: February 2026
A 37-year-old primigravida at 34 weeks of gestation with known uterine fibroids presents with 24 hours of localized lower abdominal pain and fever. She reports no vaginal bleeding or leakage of fluid and feels normal fetal movements. Examination shows a closed, uneffaced cervix with no uterine contractions; there is localized tenderness over a firm fundal mass. Fetal heart rate tracing is reassuring. Transabdominal ultrasound shows a 7-cm intramural fibroid with internal cystic change; placenta and amniotic fluid are normal. What is the most appropriate management?
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