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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 334:255-260 January 25, 1996 Number 4
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Case 3-1996— Severe Abdominal Pain during Early Pregnancy in a Woman with Previous Infertility
A.H. De Cherney, and J.H. Eichhorn

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Presentation of Case

A 31-year-old woman with a documented first pregnancy of four weeks' duration was admitted to the hospital because of severe pain in the left lower quadrant of the abdomen, nausea, and vomiting.

The patient had been well until 9 p.m. on the evening before admission, when she suddenly had acute pain in the left lower quadrant and became pale. Nausea and vomiting occurred on four occasions. She came to the hospital at approximately 5 a.m.

The patient had been exposed to diethylstilbestrol (DES) in utero. She had been infertile, with cervical stenosis after cervical biopsies and laser treatment for intraepithelial . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Alan H. Decherney's Diagnoses

Pathological Discussion

Anatomical Diagnoses

References



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