• Am J Emerg Med · Jul 2022

    Case Reports

    Near fatal interstitial pregnancy.

    • Evelyn Schraft and Michael Gottlieb.
    • Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, United States of America. Electronic address: evieschraft@gmail.com.
    • Am J Emerg Med. 2022 Jul 1; 57: 235.e5-235.e8.

    AbstractInterstitial pregnancies are a rare form of ectopic pregnancy that occur when there is implantation of a fetus into the interstitial portion of the uterus. These can be particularly challenging to diagnose and have a high risk of morbidity and mortality due to the relatively late presentation compared to other ectopic pregnancies. Here we present a gravida 3, para 2 female patient at 14 weeks gestational age who suffered uterine rupture and hemoperitoneum leading to cardiac arrest in the Emergency Department. This case demonstrates the importance of ultrasound as a critical tool in the diagnosis of interstitial pregnancy and the sonographic findings. It is essential for emergency clinicians to be aware of this rare diagnosis.Copyright © 2022 Elsevier Inc. All rights reserved.

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