Rupture of Ectopic Pregnancy With Negative Serum [beta]-hCG Leading to Hemorrhagic Shock  

Oleh:

Grynberg, Michael ; Teyssedre, Jacques ; Andre, Caroline ; Graesslin, Olivier

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Obstetrics and Gynecology vol. 113 no. 02 Part 02 (Feb. 2009), page 537.

Ketersediaan

Perpustakaan FK Nomor Panggil: O01.K.2009.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

BACKGROUND: Rupture of a fallopian tube caused by ectopic pregnancy may have serious consequences including hemorrhagic shock. The diagnosis of ectopic pregnancy is based on the demonstration of pregnancy using serum [beta]-hCG assays. Thus, a negative test usually allows the exclusion of the diagnosis of ectopic pregnancy. CASE: We present an unusual case of ectopic pregnancy resulting in hemorrhagic shock despite negative results for serum [beta]-hCG tests. Computed tomography and ultrasound scans revealed hemoperitoneum and a right adnexal mass. Medical management and laparoscopic salpingectomy allowed for a favorable outcome. CONCLUSION: This case illustrates the potential for an ectopic pregnancy to rupture with undetectable serum [beta]-hCG levels. Further, it illustrates the helpful role of imaging exams in diagnosing a patient with unstable hemodynamic status.

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