2 Days Of Vaginal in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#554
SMLE Question #554
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 28-year-old G2P1 woman presents to the emergency department with 2 days of vaginal bleeding and lower abdominal cramping at 10 weeks’ gestation by last menstrual period. She passed tissue at home earlier today and now has decreased but persistent bleeding. She has no fever or foul-smelling discharge. Pelvic examination shows a dilated cervical os with blood and tissue in the cervical canal. Transvaginal ultrasound shows retained intrauterine tissue. What is the most likely diagnosis?
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