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{ "pk": 951, "title": "Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations", "subtitle": null, "abstract": "Introduction: \nEctopic pregnancy carries a high morbidity and mortality; patients are at risk for rupture and life-threatening hemorrhage.\nCase Report:\n 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.\nConclusion: \nWhile 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.", "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": [ { "word": "ectopic pregnancy" }, { "word": "point-of-care ultrasound" }, { "word": "intrauterine device" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0gp6p5xq", "frozenauthors": [ { "first_name": "Derick", "middle_name": "D.", "last_name": "Jones", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota; Mayo Clinic Health System Albert Lea and Austin, Department of Emergency Medicine, Austin, Minnesota", "department": "None" }, { "first_name": "Tobias", "middle_name": "", "last_name": "Kummer", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Jessica", "middle_name": "C.", "last_name": "Schoen", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota; Mayo Clinic Health System Albert Lea and Austin, Department of Emergency Medicine, Austin, Minnesota", "department": "None" } ], "date_submitted": "2020-10-21T07:13:49+08:00", "date_accepted": "2020-10-21T07:13:49+08:00", "date_published": "2020-10-21T07:14:23+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/951/galley/699/download/" } ] }