Document Detail


Ruptured heterotopic pregnancy presenting with relative bradycardia in a woman not receiving reproductive assistance.
MedLine Citation:
PMID:  14985667     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of heterotopic pregnancy in a woman who had not undergone in vitro fertilization or any other reproductive assistance. The patient failed to mount a tachycardic response to hemorrhagic shock. Bradycardia is a well-established phenomenon in the setting of hemoperitoneum and particularly with ruptured ectopic pregnancy. This is a case of heterotopic pregnancy with relative bradycardia in a woman without predisposing factors for heterotopic pregnancy. We make suggestions on avoiding common pitfalls in the emergency department diagnosis of heterotopic pregnancy. We also address the similar clinical presentations of heterotopic pregnancy and intrauterine pregnancy with ruptured corpus luteum cyst.
Authors:
Michael P Somers; Michelle Spears; Arthur S Maynard; Scott A Syverud
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  43     ISSN:  1097-6760     ISO Abbreviation:  Ann Emerg Med     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-02-26     Completed Date:  2004-08-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  382-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA 22908-0699, USA. mps7a@virginia.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Bradycardia / etiology*
Chorionic Gonadotropin, beta Subunit, Human / blood
Diagnosis, Differential
Diagnostic Errors
Female
Hematocrit
Humans
Hypovolemia / etiology
Ovarian Cysts / diagnosis
Pregnancy*
Pregnancy, Tubal / complications,  diagnosis*,  ultrasonography
Rupture / complications,  ultrasonography
Shock, Hemorrhagic / etiology
Ultrasonography, Prenatal
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin, beta Subunit, Human

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