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

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" 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.

Document Type	:	AL
Record Number	:	927947
Doc. No	:	LA4jc0769q
Language of Document	:	English
Main Entry	:	Tariq, Asma; O’Rourke, Maria; Carstens, Steven J.; Totten, Vicken Y.
Title & Author	:	Intra-abdominal Rupture of a Live Cervical Pregnancy with Placenta Accreta but Without Vaginal Bleeding [Article]\ Tariq, Asma; O’Rourke, Maria; Carstens, Steven J.; Totten, Vicken Y.
Title of Periodical	:	Clinical Practice and Cases in Emergency Medicine
Volume/ Issue Number	:	2/2
Date	:	2018
Abstract	:	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.