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Ruptured Tubal Pregnancy with a Negative Urine Pregnancy Test and Serum Beta hCG |
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| รหัสดีโอไอ | |
| Creator | Panwara Paritakul, M.D. |
| Title | Ruptured Tubal Pregnancy with a Negative Urine Pregnancy Test and Serum Beta hCG |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2560 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 25 |
| Journal No. | 2 |
| Page no. | 130 |
| Keyword | ectopic pregnancy, pregnancy test |
| ISSN | 0857-6084 |
| Abstract | 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. |
