Ruptured ectopic pregnancy with a negative urine pregnancy test.

Autor: Hughes, Mallory, Lupo, Andrew, Browning, Adrianne
Zdroj: Baylor University Medical Center Proceedings; 2017, Vol. 30 Issue 1, p97-98, 2p, 1 Color Photograph, 1 Black and White Photograph
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. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index