Ectopic & Left FAST

This patient who was known to be pregnant came in quite shocky. POCUS showed blood around the spleen only, none in Morison’s Pouch or in the pelvis. A bit weird? Maybe because the ectopic was in the left tube? The patient went right to the OR without any further imaging and did well. [Editor’s note: based in good part on this article, we teach to look in the RUQ for any patient suspected of an ectopic pregnancy. But this case suggests that looking in the LUQ should be done as well, and it only adds a few seconds to the scan.]