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

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 diagnost...

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Autores principales: Jones, Derick D., Kummer, Tobias, Schoen, Jessica C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676810/
https://www.ncbi.nlm.nih.gov/pubmed/33217272
http://dx.doi.org/10.5811/cpcem.2020.7.48258
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author Jones, Derick D.
Kummer, Tobias
Schoen, Jessica C.
author_facet Jones, Derick D.
Kummer, Tobias
Schoen, Jessica C.
author_sort Jones, Derick D.
collection PubMed
description 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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spelling pubmed-76768102020-11-24 Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations Jones, Derick D. Kummer, Tobias Schoen, Jessica C. Clin Pract Cases Emerg Med Case Report 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. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-10-20 /pmc/articles/PMC7676810/ /pubmed/33217272 http://dx.doi.org/10.5811/cpcem.2020.7.48258 Text en Copyright: © 2020 Jones et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Jones, Derick D.
Kummer, Tobias
Schoen, Jessica C.
Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations
title Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations
title_full Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations
title_fullStr Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations
title_full_unstemmed Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations
title_short Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations
title_sort ruptured ectopic pregnancy with an intrauterine device: case report and sonographic considerations
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676810/
https://www.ncbi.nlm.nih.gov/pubmed/33217272
http://dx.doi.org/10.5811/cpcem.2020.7.48258
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AT schoenjessicac rupturedectopicpregnancywithanintrauterinedevicecasereportandsonographicconsiderations

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