Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations
- Author(s): Jones, Derick D.;
- Kummer, Tobias;
- Schoen, Jessica C.
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2020.7.48258
Introduction: Ectopic pregnancy carries a high morbidity and mortality; patients are at risk for rupture and life-threatening hemorrhage.
Case Report: 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.
Conclusion: While 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.