Retained Products of Conception: An Atypical Presentation Diagnosed Immediately with Bedside Emergency Ultrasound
| Autor: | Erin Setzer, Debra Williams, Kristin Adkins, Joseph Minardi |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine business.industry Pelvic pain General surgery medicine.medical_treatment lcsh:Medical emergencies. Critical care. Intensive care. First aid Echogenicity Case Report lcsh:RC86-88.9 General Medicine Emergency department 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences Dilation and curettage 0302 clinical medicine Products of conception medicine Emergency ultrasound Vaginal bleeding medicine.symptom Presentation (obstetrics) business |
| Zdroj: | Case Reports in Emergency Medicine, Vol 2016 (2016) Case Reports in Emergency Medicine |
| ISSN: | 2090-6498 2090-648X |
| Popis: | Background. Retained products of conception is an important diagnosis to consider in patients presenting with postpartum complaints. Bedside ultrasound is a rapid, accurate, noninvasive modality to evaluate these patients.Objective. To report an atypical case of retained products of conception diagnosed with bedside ultrasound in the emergency department.Case Report. A 27-year-old female who was 1-month postpartum presented with vaginal bleeding, pelvic pain, and no fever. At the time of initial H&P, bedside ultrasound revealed echogenic material within the endometrial cavity with blood flow seen by color Doppler consistent with retained products of conception. The bedside ultrasound rapidly narrowed the differential and allowed a definitive diagnosis immediately. Ob/Gyn was consulted and dilation and curettage was performed in the operating room.Conclusions. Retained products of conception is an important diagnosis for the emergency physician to consider in at-risk patients. The sonographic findings are easily obtained and interpreted by emergency physicians. Earlier diagnosis of this disease process should lead to more focused patient evaluations and management. |
| Databáze: | OpenAIRE |
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