Ruptured Tubal Pregnancy with a Negative Urine Pregnancy Test and Serum Beta Human Chorionic Gonadotropin
A rare case of ruptured tubal pregnancy with a negative urine pregnancy test (UPT) and serum beta hCG was reported. The patient presented with massive intraperitoneal bleeding and hypovolumic shock. Despite the negative UPT, a rupture tubal pregnancy was ruled out and a consultation with the gynaeco...
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| Format: | Book |
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The Royal Thai College of Obstetricians and Gynaecologists,
2017-06-01T00:00:00Z.
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| Summary: | A rare case of ruptured tubal pregnancy with a negative urine pregnancy test (UPT) and serum beta hCG was reported. The patient presented with massive intraperitoneal bleeding and hypovolumic shock. Despite the negative UPT, a rupture tubal pregnancy was ruled out and a consultation with the gynaecologist was not done. Exploratory laparotomy revealed massive hemoperitoneum with a 5-cm purplish mass at the right fallopian tube and the right salpingectomy was performed. The serum beta hCG was sent intraoperatively, and the result was 4.2 mIU/mL. The pathological report confirmed a tubal pregnancy containing a 0.5-cm embryo and chorionic villi. |
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| Item Description: | https://doi.org/10.14456/tjog.2017.19 0857-6084 0857-6084 |