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A 30-year-old female, gravida1, para 0, presents to the office for a suction dilation and curettage (D&C) for management of a six-week missed abortion. Transvaginal ultrasound diagnosed the missed abortion one week ago and it was reconfirmed three days ago. She is taking ibuprofen 400 mg PO q 4 hours PRN and took diazepam 5 mg PO × 1 before arriving. She has no past medical or surgical history and no known drug allergies. On bimanual examination, a small, retroflexed uterus is noted. The cervix is stenotic, but dilation was able to be performed. Near the end of the procedure, the suction cannula passes without resistance deeper than expected. The patient describes a sudden increase in her pain. The procedure is stopped.