A 22-year-old woman presents with severe abdominal pain and signs of shock. When asked whether she is pregnant, she states, "There's no way I'm pregnant, I have an IUD." Which of the following is the most likely cause of her signs and symptoms?

Question

Quizplus · Accepted Answer

The most likely cause of severe abdominal pain and signs of shock in a woman with an IUD is an ectopic pregnancy. This occurs when a fertilized egg implants outside the uterus, typically in the fallopian tube, and can cause life-threatening bleeding. It is important to consider the possibility of ectopic pregnancy in any sexually active woman of reproductive age with abdominal pain and especially if she has an IUD in place. Endometriosis and pelvic inflammatory disease may also cause abdominal pain but are less likely to cause signs of shock. Miscarriage is unlikely in someone with an IUD in place as the device is highly effective in preventing pregnancy.

A 22-Year-Old Woman Presents with Severe Abdominal Pain and Signs