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Clin Pract Cases Emerg Med. 2019 Jan 22;3(1):51-54. doi: 10.5811/cpcem.2019.1.41345. eCollection 2019 Feb.

Ruptured Ectopic Pregnancy in the Presence of an Intrauterine Device.

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University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama.


Ruptured ectopic pregnancy is the leading cause of first trimester maternal mortality. The diagnosis of ectopic pregnancy should always be suspected in patients with abdominal pain, vaginal bleeding or syncope. While the use of an intrauterine device (IUD) markedly reduces the incidence of intrauterine pregnancy, it does not confer equal protection from the risk of ectopic pregnancy. In this report we discuss the case of a female patient who presented with a ruptured ectopic pregnancy and hemoperitoneum despite a correctly positioned IUD.

Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

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