Malaysian Family Physician (Feb 2021)

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

  • Fadzilah Mohamad,
  • Ahmad Shuib Yahya,
  • Aneesa Abdul Rashid,
  • Navin Kumar Devaraj,
  • Abdul Hadi Abdul Manap

DOI
https://doi.org/10.51866/cr1117
Journal volume & issue
Vol. 16, no. 1
pp. 121 – 123

Abstract

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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.

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