Ruptured ectopic pregnancy with a negative urine pregnancy test.

Autor: Hughes M; Department of Obstetrics and Gynecology, Baylor University Medical Center at Dallas (Hughes, Browning), and Texas A&M Health Science Center College of Medicine (Lupo), Dallas, Texas., Lupo A; Department of Obstetrics and Gynecology, Baylor University Medical Center at Dallas (Hughes, Browning), and Texas A&M Health Science Center College of Medicine (Lupo), Dallas, Texas., Browning A; Department of Obstetrics and Gynecology, Baylor University Medical Center at Dallas (Hughes, Browning), and Texas A&M Health Science Center College of Medicine (Lupo), Dallas, Texas.
Jazyk: angličtina
Zdroj: Proceedings (Baylor University. Medical Center) [Proc (Bayl Univ Med Cent)] 2017 Jan; Vol. 30 (1), pp. 97-98.
DOI: 10.1080/08998280.2017.11929547
Abstrakt: Ectopic pregnancy is commonly seen as a differential diagnosis of first-trimester vaginal bleeding. Often the diagnosis is made based on a combination of exam findings, transvaginal ultrasound, and a positive pregnancy test. Our case describes a patient with a history of ectopic pregnancy treated with methotrexate and serial human chorionic gonadotropin measurements that were decreasing appropriately. At the time of evaluation, her urine pregnancy test was negative; however, she was confirmed to have a ruptured tubal ectopic pregnancy. This case highlights the variable presentation of ectopic pregnancies and the importance of combining exam findings with ultrasound and laboratory results.
Databáze: MEDLINE