Continuous Lower Abdominal Pain in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#468
SMLE Question #468
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 29-year-old primigravid woman at 36 weeks’ gestation presents with continuous lower abdominal pain for 6 hours, described as constant and aching rather than intermittent. She reports normal fetal movements and no prior similar episodes. No regular uterine contractions are palpated during a 20-minute assessment. Speculum and digital examination show a closed, long, posterior cervix without effacement. Fetal heart rate is 145/min with moderate variability. What is the most likely cause of her abdominal pain?
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