CHSU Discovery

Abstract:
This case report highlights the role of point-of-care ultrasound in promptly identifying an intrauterine rupture in the first trimester in the setting of an emergency department. This condition has challenging diagnostic nuances, potentially life-threatening outcomes and requires time-sensitive treatment. A 24-year-old pregnant female presented with abdominal pain and vaginal bleeding. Despite initial stabilization efforts, her condition deteriorated rapidly after experiencing an intrauterine rupture. POCUS successfully captured images of the abdominal cavity both before and after the intrauterine rupture. Before the intrauterine rupture, POCUS identified normal abdominal findings. After patient deterioration, POCUS identified the presence of free fluid and products of conception in the abdomen, indicating an intrauterine rupture had occurred. This discovery guided subsequent management decisions. This case highlights the ability of POCUS to expedite the diagnostic process, particularly in resource-limited settings. While acknowledging its limitations, including false-negative results, this case emphasizes the growing significance of POCUS in emergent situations showing significant promise in the delivery of timely intervention and improved patient outcomes.