Visual diagnosis in emergency medicine| Volume 20, ISSUE 3, P297-298, April 2001

Viable pregnancy in the presence of an intrauterine contraceptive device

  • Christopher Ho
    Reprint Address: Christopher Ho, MD, Department of Emergency Medicine, UCSD Medical Center, 200 W. Arbor Drive, San Diego, CA 92103-8676
    Department of Emergency Medicine, University of California San Diego Medical Center, San Diego, California, USA
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      A 20-year-old female presented to our Emergency Department (ED) complaining of intermittent vaginal bleeding for approximately 4 weeks. She was referred to the ED after being seen at an outside clinic earlier the same day and found to have a positive pregnancy test. The patient was surprised to find out that she was pregnant, as she had an intrauterine contraceptive device (IUCD) placed after the birth of her last child 2 years earlier. The patient was Gravida 5, Para 3, and reported that her last menstrual period was 8 weeks prior to her ED visit. She had had three normal-term spontaneous vaginal deliveries, the last one of which was 2 years ago. She was in good health, was on no medications, and had no complaints other than vaginal bleeding.
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