Abdominal cramps and per vaginal bleeding in early pregnancy.
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The cervix is open, and a 9 week old fetus is seen within the lower uterine segment. There was no fetal cardiac activity (cardiac trace not shown).
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Selected views of the lower uterine segment demonstrate a miscarriage in progress at the level of the cervix (inevitable miscarriage). An important differential to exclude is a cervical ectopic, and in some cases serial ultrasound and beta hCG followup may be necessary.