Document Detail

Ruptured tubal ectopic pregnancy with negative serum beta hCG--a case for ongoing vigilance?
MedLine Citation:
PMID:  19182846     Owner:  NLM     Status:  MEDLINE    
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.
Joseph K-S Lee; Vincent P Lamaro
Related Documents :
16553936 - Comparison of family reporting of pregnancy status with a post-mortem beta-hcg test in ...
11920896 - The first trimester 'combined test' for the detection of down syndrome pregnancies in 4...
6136796 - Ultrarapid and highly sensitive time-resolved fluoroimmunometric assay for chorionic go...
15932926 - In vivo infusion of interleukin-1beta and chorionic gonadotropin induces endometrial ch...
19504116 - A rare cause of perinatal asphyxia: maternal carbon monoxide poisoning.
23244236 - Immunohistochemical and morphometric study of pituitary pars distalis folliculostellate...
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    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Chorionic Gonadotropin / blood*
Fallopian Tubes / pathology
False Negative Reactions
Pregnancy Tests
Pregnancy, Tubal / diagnosis*,  pathology
Rupture, Spontaneous / diagnosis
Ultrasonography, Prenatal
Reg. No./Substance:
0/Chorionic Gonadotropin
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

Previous Document:  Heart health in New Zealand.
Next Document:  Carbamazepine and falsely positive screening tests for Cushing's syndrome.