{"pk":814,"title":"Heterotopic Pregnancy Diagnosed with Point-of-care Ultrasound in the Emergency Department: A Case Report","subtitle":null,"abstract":"Introduction: Heterotopic pregnancies are rare. However, they are occurring with increasing frequency. Unfortunately, diagnosis is frequently delayed, with patients presenting in extremis.\nCase Report: We present a case of a heterotopic pregnancy diagnosed by point-of-care ultrasound (POCUS) in a woman presenting with lower abdominal pain, who had a documented normal first trimester ultrasound the day prior to presentation.\nDiscussion: Given the increasing rates of heterotopic pregnancies, we can no longer be reassured by the presence of an intra-uterine pregnancy (IUP) in a patient with concerning signs and symptoms of a ruptured ectopic pregnancy. A thorough POCUS evaluation of the uterus and adnexa is essential for the diagnosis of heterotopic pregnancy in the emergency department.\nConclusion: This case highlights the value POCUS brings to the emergency department evaluation of patients in early pregnancy.","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/4612b75k","frozenauthors":[{"first_name":"Ian","middle_name":"J.","last_name":"Holley","name_suffix":"","institution":"Washington University School of Medicine in St. Louis, Department of Emergency Medicine, St. Louis, Missouri","department":"None"},{"first_name":"Sean","middle_name":"P.","last_name":"Stickles","name_suffix":"","institution":"Washington University School of Medicine in St. Louis, Department of Emergency Medicine, St. Louis, Missouri","department":"None"}],"date_submitted":"2020-04-23T05:42:53Z","date_accepted":"2020-04-23T05:42:53Z","date_published":"2020-04-23T20:24:21Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/814/galley/567/download/"}]}