First trimester pregnancy on CT

Case contributed by Dr Ian Bickle

Presentation

30 year-old patient attending for follow up CT after chemotherapy for grade 1 ovarian cancer.

Patient Data

Age: 30
Gender: Female
Modality: CT

Small gestational sac in the endometrial cavity of the uterus in keeping with a 5-6 week pregnancy.

No evidence of residual disease from the known ovarian cancer.

Case Discussion

Vigilance should be followed at all times with female of child bearing age attending for ionising radiation imaging investigations.

Always check the possibility of pregnancy, whatever the circumstance.

Follow the 10 day rule

Ask regarding the last menstrual period.

If in doubt - perform a urinary pregnancy test first.

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Case Information

rID: 21668
Case created: 9th Feb 2013
Last edited: 7th Feb 2016
System: Obstetrics
Inclusion in quiz mode: Included

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