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