CASE 114

History: A 39-year-old woman collapses after complaining of acute abdominal pain and distention.

1. What should be included in the differential diagnosis of the imaging finding shown in the figure? (Choose all that apply.)

A. Ascites

B. Adhesions

C. Uroperitoneum

D. Hemoperitoneum

E. Peritoneal metastases

2. This patient with hemoperitoneum had a positive pregnancy test. What is the diagnosis?

A. Miscarriage

B. Placenta previa

C. Molar pregnancy

D. Ectopic pregnancy

3. What solid organ is most commonly injured by blunt abdominal trauma leading to hemoperitoneum?

A. Liver

B. Bowel

C. Spleen

D. Pancreas

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