Downloads: 1 | Views: 13
Case Studies | Obstetrics and Gynecology | India | Volume 10 Issue 6, June 2021
Post Sterilization Tubal Abortion with Haemoperitoneum and Negative Pregnancy Test - A Rare Case Report and Review of Literature
Neelotparna Saikia  | Punam Jain 
Abstract: Introduction: Ectopic pregnancy is commonly seen as a differential diagnosis of first trimester vaginal bleeding. A negative urine pregnancy test traditionally excludes the diagnosis of pregnancy. Case: We report a rare case of ruptured ectopic pregnancy in a sterilized patient with a negative urine pregnancy test and with a serum beta-human chorionic gonadotropin (??-hCG) of<2 mIU/mL. The patient developed hemoperitoneum and required laparoscopy. The histopathological examination of the products later showed trophoblastic villi. Conclusion: This case highlights the limitations of the urine pregnancy test in diagnosing early pregnancy, the magnitude of the difficulties involved in the diagnosis of ectopic pregnancy and the importance of combining examination findings with ultrasound and laboratory results. Obstetrician must not exclude this potentially life-threatening condition in the presence of intraabdominal bleed or severe pelvic pain even with a negative urine pregnancy test.
Keywords: Tubal abortion, hemoperitoneum, ?- hCG, negative pregnancy test
Edition: Volume 10 Issue 6, June 2021,
Pages: 376 - 378
Similar Articles with Keyword 'hemoperitoneum'
Case Studies, Obstetrics and Gynecology, India, Volume 10 Issue 7, July 2021Pages: 1504 - 1506
Uterine Rupture in Unscarred Uterus - An Obstetrician's Nightmare
Case Studies, Obstetrics and Gynecology, India, Volume 11 Issue 10, October 2022Pages: 1071 - 1072
An Unusual Case of Idiopathic Spontaneous Hemoperitoneum in the First Trimester of Pregnancy
Dr. Megha Annaiah | Dr. Prema D'cunha