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Obstet Gynecol. 2009 Feb;113(2 Pt 2):537-9. doi: 10.1097/AOG.0b013e318190a2bb.

Rupture of ectopic pregnancy with negative serum beta-hCG leading to hemorrhagic shock.

Author information

1
CHU Reims, Institut mère-enfant Alix de Champagne, Service de gynécologie-Obstétrique, Reims, France. michael.grynberg@u-psud.fr

Abstract

BACKGROUND:

Rupture of a fallopian tube caused by ectopic pregnancy may have serious consequences including hemorrhagic shock. The diagnosis of ectopic pregnancy is based on the demonstration of pregnancy using serum beta-hCG assays. Thus, a negative test usually allows the exclusion of the diagnosis of ectopic pregnancy.

CASE:

We present an unusual case of ectopic pregnancy resulting in hemorrhagic shock despite negative results for serum beta-hCG tests. Computed tomography and ultrasound scans revealed hemoperitoneum and a right adnexal mass. Medical management and laparoscopic salpingectomy allowed for a favorable outcome.

CONCLUSION:

This case illustrates the potential for an ectopic pregnancy to rupture with undetectable serum beta-hCG levels. Further, it illustrates the helpful role of imaging exams in diagnosing a patient with unstable hemodynamic status.

PMID:
19155948
DOI:
10.1097/AOG.0b013e318190a2bb
[Indexed for MEDLINE]

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