Ruptured Tubal Pregnancy with a Negative Urine Pregnancy Test and Serum Beta Human Chorionic Gonadotropin

Panwara Paritakul
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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.
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输卵管破裂妊娠伴尿妊娠试验和血清β人绒毛膜促性腺激素阴性
报告了一例罕见的输卵管妊娠破裂,尿妊娠试验(UPT)和血清β-hCG呈阴性。患者表现为腹膜内大量出血和低容量休克。尽管UPT呈阴性,但排除了输卵管妊娠破裂的可能性,也没有咨询妇科医生。剖腹探查发现右侧输卵管有大量腹腔积血和5厘米的紫色肿块,并进行了右侧输卵管切除术。术中发送血清β-hCG,结果为4.2mIU/mL。病理报告证实输卵管妊娠含有0.5厘米胚胎和绒毛膜。
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来源期刊
Thai Journal of Obstetrics and Gynaecology
Thai Journal of Obstetrics and Gynaecology Medicine-Obstetrics and Gynecology
CiteScore
0.40
自引率
0.00%
发文量
3
审稿时长
24 weeks
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