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{
    "pk": 636,
    "title": "Ruptured Tubal Ectopic Pregnancy at Fifteen Weeks Gestational Age",
    "subtitle": null,
    "abstract": "Tubal ectopic pregnancies are commonly diagnosed during the first trimester. Here we present a second-trimester tubal ectopic pregnancy that was previously misdiagnosed as an intrauterine pregnancy on a first-trimester ultrasound. A 39-year-old gravida 1 para 0 woman at 15 weeks gestation presented with 10 days of progressive, severe abdominal pain, along with vaginal bleeding and intermittent vomiting for two months. She was ultimately found to have a ruptured left tubal ectopic pregnancy. Second-trimester ectopic pregnancies carry a significant maternal mortality risk. Even with the use of ultrasound, they are difficult to diagnose and present unique diagnostic challenges.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6db5d1v7",
    "frozenauthors": [
        {
            "first_name": "Justine",
            "middle_name": "Kaye",
            "last_name": "Stremick",
            "name_suffix": "",
            "institution": "Fort Belvoir Community Hospital, Department of Emergency Medicine, Fort Belvoir, Virginia",
            "department": "None"
        },
        {
            "first_name": "Kyle",
            "middle_name": "",
            "last_name": "Couperus",
            "name_suffix": "",
            "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, Washington",
            "department": "None"
        },
        {
            "first_name": "Simeon",
            "middle_name": "W.",
            "last_name": "Ashworth",
            "name_suffix": "",
            "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, Washington",
            "department": "None"
        }
    ],
    "date_submitted": "2019-01-08T21:13:10Z",
    "date_accepted": "2019-01-08T21:13:10Z",
    "date_published": "2019-01-29T17:54:21Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/636/galley/396/download/"
        }
    ]
}