Ruptured Tubal Ectopic Pregnancy at Fifteen Weeks Gestational Age

Ruptured Tubal Ectopic Pregnancy at Fifteen Weeks Gestational Age

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...

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Main Authors: Justine K. Stremick, Kyle Couperus, Simeon W. Ashworth
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2019-02-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/6db5d1v7
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spelling doaj-acdbe67cf6aa484184a0b4dbd40c78d92020-11-25T02:10:06ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2019-02-013110.5811/cpcem.2019.1.40860cpcem-03-62Ruptured Tubal Ectopic Pregnancy at Fifteen Weeks Gestational AgeJustine K. Stremick0Kyle Couperus1Simeon W. Ashworth2Fort Belvoir Community Hospital, Department of Emergency Medicine, Fort Belvoir, VirginiaMadigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, WashingtonMadigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, WashingtonTubal 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.https://escholarship.org/uc/item/6db5d1v7
collection DOAJ
language English
format Article
sources DOAJ
author Justine K. Stremick
Kyle Couperus
Simeon W. Ashworth
spellingShingle Justine K. Stremick
Kyle Couperus
Simeon W. Ashworth
Ruptured Tubal Ectopic Pregnancy at Fifteen Weeks Gestational Age
Clinical Practice and Cases in Emergency Medicine
author_facet Justine K. Stremick
Kyle Couperus
Simeon W. Ashworth
author_sort Justine K. Stremick
title Ruptured Tubal Ectopic Pregnancy at Fifteen Weeks Gestational Age
title_short Ruptured Tubal Ectopic Pregnancy at Fifteen Weeks Gestational Age
title_full Ruptured Tubal Ectopic Pregnancy at Fifteen Weeks Gestational Age
title_fullStr Ruptured Tubal Ectopic Pregnancy at Fifteen Weeks Gestational Age
title_full_unstemmed Ruptured Tubal Ectopic Pregnancy at Fifteen Weeks Gestational Age
title_sort ruptured tubal ectopic pregnancy at fifteen weeks gestational age
publisher eScholarship Publishing, University of California
series Clinical Practice and Cases in Emergency Medicine
issn 2474-252X
publishDate 2019-02-01
description 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.
url https://escholarship.org/uc/item/6db5d1v7
work_keys_str_mv AT justinekstremick rupturedtubalectopicpregnancyatfifteenweeksgestationalage
AT kylecouperus rupturedtubalectopicpregnancyatfifteenweeksgestationalage
AT simeonwashworth rupturedtubalectopicpregnancyatfifteenweeksgestationalage
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