A patient had undergo suction evacuation for 10 weeks pregnancy. Three days later she came back with profuse vaginal bleeding and abdominal pain. The most likely diagnosis is :
**Core Concept**
The patient's symptoms of profuse vaginal bleeding and abdominal pain following suction evacuation for a 10-week pregnancy suggest a complication related to the procedure. The most likely diagnosis involves the failure of the uterus to contract down to its normal size after the procedure, leading to bleeding and pain.
**Why the Correct Answer is Right**
The correct answer is related to **Inevitable Abortion**, but in this context, it's more likely that the patient is experiencing **Incompletely Evacuated Uterus** or **Incomplete Abortion**. The uterus failed to contract down completely after the suction evacuation, leading to retained products of conception, which caused the profuse vaginal bleeding and abdominal pain. The retained tissue may have been left behind due to the incomplete evacuation.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not relevant to the scenario described. The question does not mention any infection, so this answer is not applicable.
**Option B:** This option is not the most likely diagnosis. Although it's a possible complication of suction evacuation, it's not the most common cause of profuse vaginal bleeding and abdominal pain in this context.
**Option C:** This option is not the correct answer. Although it's a possible complication of suction evacuation, it's not the most likely diagnosis in this scenario.
**Clinical Pearl / High-Yield Fact**
Incomplete evacuation of the uterus after suction abortion is a common complication, and it's essential to perform a follow-up ultrasound to confirm complete evacuation. If the patient continues to experience bleeding or pain, further evaluation and management may be necessary.
**Correct Answer:** C. Incomplete Abortion.