First trimester pregnancy on CT

Case contributed by Ian Bickle
Diagnosis certain

Presentation

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

Patient Data

Age: 30
Gender: Female

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 ionizing 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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