A 28 years old G3 P2 has presented with complaints of brownish vaginal discharge, passage of vesicles and excessive vomiting. Ultrasound scan shows snowstorm appearance in uterus with no fetus. The most likely diagnosis is: a) Septic induced abortion. b) Twin pregnancy. c) Gestational trophoblastic disease. d) Ectopic pregnancy. e) Fibroid uterus.

A 28 years old G3 P2 has presented with complaints of brownish vaginal discharge, passage of vesicles and  excessive vomiting. Ultrasound scan shows snowstorm appearance in uterus with no fetus. The most likely diagnosis is:  
a) Septic induced abortion.
b) Twin pregnancy.
c) Gestational trophoblastic disease.
d) Ectopic pregnancy.
e) Fibroid uterus.
by

2 Answers

Answer :

c) Gestational trophoblastic disease.
by

Answer :

The answer is most likely (a) a septic abortion, because the young lady is presenting with symptoms of a serious uterine infection that is discoloring her normal uterine disharge due to the presence of the infection, and this explains why there is tissue or a passige of vesicles alongside the absence of a fetus on the ultrasound, hence the abortion.
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