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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/" } ] }