A life-threatening condition - ruptured ectopic pregnancy with negative urine pregnancy test: a case report

Ectopic pregnancy is an extra-uterine pregnancy and is a potentially life-threatening condition that can lead to death from intra-peritoneal hemorrhage. This case reports a rare occurrence of ruptured tubal pregnancy in which the patient presented early with abdominal pain and a negative urine pregn...

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Bibliographic Details
Main Authors: Mohamad, Fadzilah, Yahya, Ahmad Shuib, Abdul Rashid, Aneesa, Devaraj, Navin Kumar, Abdul Manap, Abdul Hadi
Format: Article
Published: Academy of Family Physicians of Malaysia 2021
Description
Summary:Ectopic pregnancy is an extra-uterine pregnancy and is a potentially life-threatening condition that can lead to death from intra-peritoneal hemorrhage. This case reports a rare occurrence of ruptured tubal pregnancy in which the patient presented early with abdominal pain and a negative urine pregnancy test but subsequently presented again with evidence of intra-peritoneal hemorrhage. A negative urine pregnancy test is often used to rule out pregnancy, but it is not 100% sensitive. Complete assessment is critical in this important diagnosis in order to plan for the appropriate emergency management.