{"title":"Ruptured Tubal Pregnancy with a Negative Urine Pregnancy Test and Serum Beta Human Chorionic Gonadotropin","authors":"Panwara Paritakul","doi":"10.14456/TJOG.2017.19","DOIUrl":null,"url":null,"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 confimed a tubal pregnancy containing a 0.5-cm embryo and chorionic villi.","PeriodicalId":36742,"journal":{"name":"Thai Journal of Obstetrics and Gynaecology","volume":"25 1","pages":"130-135"},"PeriodicalIF":0.0000,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Thai Journal of Obstetrics and Gynaecology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14456/TJOG.2017.19","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 2
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 confimed a tubal pregnancy containing a 0.5-cm embryo and chorionic villi.