Document Detail


Ruptured tubal ectopic pregnancy with negative serum beta hCG--a case for ongoing vigilance?
MedLine Citation:
PMID:  19182846     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 25-year-old female with a history of recent miscarriage presents with haemodynamic shock and a negative serum beta hCG. She presents to six different healthcare facilities within a single metropolitan area, during which a pelvic ultrasound scan showed an empty uterus with a subnormal rise in serum beta hCG. Suspected ruptured tubal ectopic pregnancy was confirmed following laparoscopy and salpingectomy, with histopathological confirmation of chorionic villi in the extirpated fallopian tube. This case report highlights the ongoing clinical diagnostic challenges that are associated with ectopic pregnancy; illustrates the importance of teamwork; and perhaps also draws attention to the need for a robust protocol to facilitate consistent, good-quality early pregnancy care for all women.
Authors:
Joseph K-S Lee; Vincent P Lamaro
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Publication Detail:
Type:  Case Reports; Letter     Date:  2009-01-23
Journal Detail:
Title:  The New Zealand medical journal     Volume:  122     ISSN:  1175-8716     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-02-02     Completed Date:  2009-02-10     Revised Date:  2010-10-22    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  94-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Chorionic Gonadotropin / blood*
Fallopian Tubes / pathology
False Negative Reactions
Female
Humans
Laparoscopy
Pregnancy
Pregnancy Tests
Pregnancy, Tubal / diagnosis*,  pathology
Rupture, Spontaneous / diagnosis
Ultrasonography, Prenatal
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin
Comments/Corrections
Comment In:
N Z Med J. 2009 Jan 23;122(1288):9-12   [PMID:  19182837 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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