Intra-abdominal Rupture of a Live Cervical Pregnancy with Placenta Accreta but Without Vaginal Bleeding.

Tariq, Asma; O'Rourke, Maria; Carstens, Steven J; Totten, Vicken Y

Tariq, Asma; O'Rourke, Maria; Carstens, Steven J; Totten, Vicken Y.

Afiliación

Tariq A; Kaweah Delta Health Care District, Department of Emergency Medicine, Visalia, California.
O'Rourke M; Kaweah Delta Health Care District, Department of Emergency Medicine, Visalia, California.
Carstens SJ; Kaweah Delta Health Care District, Department of Emergency Medicine, Visalia, California.
Totten VY; Kaweah Delta Health Care District, Department of Emergency Medicine, Visalia, California.

Clin Pract Cases Emerg Med ; 2(2): 116-120, 2018 May.

Article en En | MEDLINE | ID: mdl-29849260

RESUMEN

We describe an unusual ruptured ectopic pregnancy. The unique features of the case include abdominal pain without vaginal bleeding; cervical implantation and a placenta accreta; and the late presentation at 16 weeks of gestation without prior symptoms. Both the initial point-of-care ultrasound and the formal ultrasound were interpreted as showing an intrauterine pregnancy. The clinical presentation was misleading; the correct diagnosis was made by magnetic resonance imaging. We show the ultrasonic images. We discuss cervical ectopic pregnancies, their diagnosis and management. The woman survived but required emergency hysterectomy and many units of blood.

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Pract Cases Emerg Med Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos

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