[Clinical Picture] Seeing red degeneration in uterine fibroids in pregnancy: proceed with caution

A 32-year-old pregnant woman was admitted to our hospital at 18 weeks of gestation with a 5-day history of severe, sharp, and constant abdominal pain. She had no significant medical history and prior to this pain, the pregnancy had been uneventful. On admission, the woman looked pale and was in severe discomfort. Her vital signs were normal. At physical examination we found tenderness in the right lower quadrant of her abdomen but no peritonism. The gravid uterus was soft with a palpable mass at the fundus: there was no vaginal bleeding.

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