Dr. Neelam Bangar (Obstetrics & Gynecology) needs a second opinion on this medical case.
32 yrs female, p1L1 , amenorrhea since 2 mths, UPT-negative, withdrawal bleeding on 17/5/18 shows decidual cast like picture,at present complaining of moderate pain over left iliac fossa since 3 days,her USG A+P- normal, no GS ,ET 10 mm,both ovaries normal,repeat UPT negative,P/S- minimal cervicitis and vaginitis+, PV - uterus normal RV ,Rt fornix free ,left fornix severely tender can't locate anything due to pain,no bladder or bowel problems, during passing gases she feels pain.what could be the diagnosis, should I go for MRI or CTpelvis?with or without contrast,?
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