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{
    "pk": 16552,
    "title": "Subchorionic Hemorrhage Appearing as Twin Gestation on Endovaginal Ultrasound",
    "subtitle": null,
    "abstract": "This case study describes a pregnant patient with vaginal bleeding who had a bedside endovaginal ultrasound in the emergency department (ED). The emergency physician identified a live intra-uterine pregnancy (IUP) with another structure that appeared to be a second gestational sac. The patient subsequently had an endovaginal ultrasound in the radiology department 46 minutes later. The attending radiologist described one live IUP and a subchorionic hemorrhage. Comparison of the ED and radiology ultrasound showed that the second structure, identified as a subchorionic hemorrhage, had significantly decreased in size. Endovaginal ultrasound in the evaluation of possible ectopic pregnancy is a useful bedside tool in the ED. We discuss a pitfall that can occur with endocavitary ultrasound when a twin gestation is presumed.",
    "language": "en",
    "license": {
        "name": "none",
        "short_name": "none",
        "text": "",
        "url": "http://google.com"
    },
    "keywords": [
        {
            "word": "subchorionic hemorrhage"
        },
        {
            "word": "ultrasound"
        },
        {
            "word": "vaginal bleeding"
        },
        {
            "word": "bedside ultrasound"
        },
        {
            "word": "endovaginal ultrasound"
        }
    ],
    "section": "Article",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3w57h9nz",
    "frozenauthors": [
        {
            "first_name": "Andy",
            "middle_name": "",
            "last_name": "Kahn",
            "name_suffix": "",
            "institution": "Baylor Medical Center at Garland",
            "department": "None"
        },
        {
            "first_name": "Amy",
            "middle_name": "L",
            "last_name": "Kahn",
            "name_suffix": "",
            "institution": "Baylor Medical Center at Garland",
            "department": "None"
        },
        {
            "first_name": "J",
            "middle_name": "Christian",
            "last_name": "Fox",
            "name_suffix": "",
            "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine",
            "department": "None"
        },
        {
            "first_name": "Mark",
            "middle_name": "",
            "last_name": "Langdorf",
            "name_suffix": "",
            "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine",
            "department": "None"
        }
    ],
    "date_submitted": "2007-10-13T11:00:00+04:00",
    "date_accepted": "2007-10-13T11:00:00+04:00",
    "date_published": "2008-05-10T11:00:00+04:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/16552/galley/8373/download/"
        }
    ]
}