Sudden Sharp Left Iliac in Obstetrics & Gynecology — 26yo Woman | General Gynecology | SMLE Q#18549
SMLE Question #18549
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-OBG-001
Last updated: February 2026
A 26-year-old woman presents to the emergency department with sudden sharp left iliac fossa pain with nausea, vomiting, and mild vaginal spotting. Her abdomen is soft with mild left iliac fossa tenderness on deep palpation and no guarding or rebound. A urine pregnancy test is positive. Transvaginal ultrasound shows no intrauterine gestational sac, no adnexal mass, and no free pelvic fluid. What is the most likely diagnosis?
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