scholarly journals Cesarean Scar Ectopic Pregnancy: Diagnosis With Ultrasound

2020 ◽  
Vol 4 (1) ◽  
pp. 65-68
Author(s):  
Taryn Hoffman ◽  
Judy Lin
Keyword(s):  
Ectopic Pregnancy ◽  
Maternal Death ◽  
Uterine Rupture ◽  
Rare Case ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Cesarean Sections ◽  
Pregnancy Diagnosis ◽  
Cesarean Scar ◽  
Life Saving

We present a rare case of cesarean scar ectopic pregnancy as diagnosed by transvaginal ultrasonography. Cases such as this are rare, but they are becoming more commonly detected with the growing frequency of cesarean sections, improving technology, and provider proficiency with point-of-care ultrasound. Quick identification of this dangerous diagnosis can be life saving for the patient, as the outcomes of ruptured cesarean ectopic pregnancy may include significant hemorrhage, uterine rupture, and possibly maternal death.

scholarly journals Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations

2020 ◽  
Vol 4 (4) ◽  
pp. 559-563
Author(s):  
Derick Jones ◽  
Tobias Kummer ◽  
Jessica Schoen
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Rare Case ◽  
Point Of Care ◽  
Intrauterine Device ◽  
Point Of Care Ultrasound ◽  
High Morbidity ◽  
Extrauterine Pregnancy ◽  
Life Threatening ◽  
High Degree

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.

Cesarean-Scar Ectopic Pregnancy: A Rare Case

2019 ◽  
Vol 35 (4) ◽  
pp. 272-275
Author(s):  
Andi Darma Putra ◽  
Quri Meihaerani Savitri
Keyword(s):  
Ectopic Pregnancy ◽  
Rare Case ◽  
Cesarean Scar

scholarly journals Fluid Therapy in Pulmonary Disease: How Careful Do We Need to Be?

2021 ◽  
Vol 8 ◽  
Author(s):  
Sophie Adamantos
Keyword(s):  
Fluid Therapy ◽  
Fluid Overload ◽  
Point Of Care ◽  
Pulmonary Complications ◽  
Point Of Care Ultrasound ◽  
Protective Mechanisms ◽  
Non Invasive ◽  
Life Saving ◽  
Severe Hemorrhage ◽  
Healthy Dogs

Intravenous fluid therapy is a vital and life-saving therapeutic in veterinary medicine. In the absence of heart or lung disease, trauma or sepsis there is limited evidence that fluid therapy will have a detrimental effect on lung function. In healthy dogs there is a reasonable level of experimental evidence that supraphysiologic rates of fluid are required before signs of fluid overload are made evident. In cats, however, this may not be the case. There are higher rates of asymptomatic myocardial disease, but even in the absence of that it seems that some cats may be susceptible to fluid overload. Where systemic inflammation already exists the careful homeostatic and protective mechanisms within the lung are deranged and increases in hydrostatic pressure are more likely to result in fluid movement into the lung tissues. Strategies including restricting the use of intravenous crystalloid fluid administration and using blood products for management of severe hemorrhage are of increasing importance in human trauma and seem to be associated with fewer pulmonary complications, and lower mortality. Managing dogs and cats with sepsis and acute respiratory distress syndrome is already challenging, but ensuring adequate vascular expansion needs to be balanced with avoiding excessive volume administration which may negatively impact pulmonary function. While fluids remain crucial to management of these conditions, there will be an ongoing requirement to balance need without providing excess. The use of point of care ultrasound may provide clinicians with a non-invasive and accessible way to do this.

Massive hemorrhage from a unique old cesarean scar ectopic pregnancy with negative urine and serum β-HCG: a rare case report

2018 ◽  
Vol 130 (8) ◽  
pp. 708-711
Author(s):  
Xiao Yang ◽  
Xiao-Qing Wei ◽  
Dan Feng ◽  
Wei He ◽  
Yuan Chen ◽  
...  
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Rare Case ◽  
Massive Hemorrhage ◽  
Cesarean Scar ◽  
Rare Case Report ◽  
Β Hcg ◽  
Urine And Serum

scholarly journals Uterine Rupture with Cesarean Scar Heterotopic Pregnancy with Survival of the Intrauterine Twin

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Kimberly R. Lincenberg ◽  
Eric R. Behrman ◽  
James S. Bembry ◽  
Christine M. Kovac
Keyword(s):  
Ectopic Pregnancy ◽  
Uterine Rupture ◽  
Placental Abruption ◽  
Heterotopic Pregnancy ◽  
Multiple Gestation ◽  
Cesarean Scar ◽  
Safe Management ◽  
Life Threatening ◽  
Emergent Cesarean Section ◽  
Ruptured Uterus

Background. Heterotopic pregnancy is a multiple gestation with both intrauterine and ectopic fetuses. A cesarean scar ectopic pregnancy is when the fetus has implanted over the previous hysterotomy site. A known complication of cesarean scar ectopic pregnancy is uterine rupture, which can cause great morbidity and mortality. Case. 28-year-old G5P3105 at 10 weeks with a dichorionic diamniotic gestation was found to have a ruptured uterus with expulsion of a cesarean scar ectopic pregnancy and retention of the intrauterine fetus. After uterine repair, the singleton gestation reached viability was delivered by emergent cesarean section for placental abruption. Conclusion. Safe management of cesarean ectopic pregnancy requires early diagnosis by ultrasonography. With early detection, management can focus on preventing maternal morbidity of uterine rupture and life-threatening hemorrhage.

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