Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations

Autor: Derick D. Jones, Tobias Kummer, Jessica C. Schoen
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Clinical Practice and Cases in Emergency Medicine, Vol 4, Iss 4 (2020)
Druh dokumentu: article
ISSN: 2474-252X
DOI: 10.5811/cpcem.2020.7.48258
Popis: Introduction: Ectopic pregnancy carries a high morbidity and mortality; patients are at risk for rupture and life-threatening hemorrhage. Case Report: We present a rare case of ruptured abdominal ectopic pregnancy in a patient with a well-positioned intrauterine device (IUD) and discuss the diagnostic utility that transabdominal point-of-care ultrasound (POCUS) can have when performed at the bedside. Conclusion: While pregnancy with an IUD in place is rare, when it is encountered the emergency provider should maintain a high degree of suspicion for extrauterine pregnancy and perform prompt evaluation for hemorrhagic shock using diagnostic POCUS.
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