Jones Derick D, Kummer Tobias, Schoen Jessica C
Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota.
Mayo Clinic Health System Albert Lea and Austin, Department of Emergency Medicine, Austin, Minnesota.
Clin Pract Cases Emerg Med. 2020 Nov;4(4):559-563. doi: 10.5811/cpcem.2020.7.48258.
Ectopic pregnancy carries a high morbidity and mortality; patients are at risk for rupture and life-threatening hemorrhage.
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.
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.
异位妊娠具有较高的发病率和死亡率；患者有破裂及危及生命的出血风险。
我们呈现了一例罕见的腹腔异位妊娠破裂病例，该患者宫内节育器（IUD）位置正常，并讨论了床边经腹即时超声检查（POCUS）的诊断效用。
虽然带IUD妊娠很罕见，但当遇到这种情况时，急诊医护人员应高度怀疑宫外孕，并使用诊断性POCUS对失血性休克进行快速评估。
