Ectopic pregnancy in an urban teaching hospital: can tubal rupture be predicted?
| Autor: | W G Hurt, David E. Soper, Alice Hirata, Richard C. Bump |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Abdominal pain medicine.medical_specialty Physical examination Chorionic Gonadotropin Teaching hospital Predictive Value of Tests Pregnancy Medicine Humans Medical history Prospective Studies Hospitals Teaching medicine.diagnostic_test Ectopic pregnancy Rupture Spontaneous business.industry Obstetrics Virginia General Medicine Fallopian Tube Diseases medicine.disease Prognosis Predictive value Pregnancy Ectopic Parity Female medicine.symptom business |
| Zdroj: | Southern medical journal. 84(12) |
| ISSN: | 0038-4348 |
| Popis: | We evaluated the medical history, physical examination, and laboratory tests done on 245 patients with laparoscopically proven ectopic pregnancies. The absence of abdominal pain was the only clinically useful negative predictive value (91%) regarding tubal rupture. Although mean levels of serum human chorionic gonadotropin (hCG-beta subunit) were significantly higher in patients with ruptured versus unruptured ectopic pregnancies (16,612 mIU/mL vs 6406 mIU/mL), no breakpoint excluded the possibility of tubal rupture. In fact, one third of ectopic pregnancies in patients with a serum beta-hCG level below 100 mIU/mL were ruptured. We conclude that clinical symptoms and signs are poor predictors of tubal rupture. In addition, absolute values of serum beta-hCG are not helpful in excluding the possibility of rupture. |
| Databáze: | OpenAIRE |
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