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Case Reports
. 2017 Jan;30(1):97-98.
doi: 10.1080/08998280.2017.11929547.

Ruptured ectopic pregnancy with a negative urine pregnancy test

Mallory Hughes  1 , Andrew Lupo  1 , Adrianne Browning  1
Affiliations
Case Reports

Ruptured ectopic pregnancy with a negative urine pregnancy test

Mallory Hughes et al. Proc (Bayl Univ Med Cent). 2017 Jan.

Abstract

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.

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Figures

Figure 1.
Figure 1.
Ultrasound findings demonstrate (a) a complex adnexal mass (arrow) and (b) a large amount of free fluid (arrow) surrounding the uterus and ovary.
Figure 2.
Figure 2.
Dilated fallopian tube with ectopic pregnancy and hemorrhage within the tube.
See this image and copyright information in PMC

References

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