Is the patient pregnant …. or not?

Abstract

Women of childbearing age with a ruptured ectopic pregnancy may present with abdominal pain in the acute care setting. A negative urine pregnancy test is often used to exclude such a diagnosis but studies have shown that it is not 100% sensitive. We describe a case of a patient with a ruptured ectopic pregnancy who had a negative urine pregnancy test.

Keywords

• Ectopic pregnancy
• Chronic ectopic pregnancy
• Urine and serum beta HCG
• Haemoperitoneum