A 24-year-old pregnant patient (10 weeks) has acute pelvic pain and positive urine hCG. Which initial imaging is most appropriate?...

Question

A 24-year-old pregnant patient (10 weeks) has acute pelvic pain and positive urine hCG. Which initial imaging is most appropriate?

Accepted Answer

Transvaginal and transabdominal pelvic ultrasound with Doppler

Answer

CT abdomen/pelvis with IV contrast

Answer

MRI with gadolinium

Answer

Abdominal radiograph

Answer

No imaging until beta-hCG >3,500 mIU/mL

Acute Pelvic Pain-Pregnancy Imaging — DRCOG MCQ