Maternal serum creatine kinase: a possible predictor of tubal pregnancy.
Tubal pregnancy remains a clinical challenge in spite of improvements in diagnostic tests and procedures. In a prospective study we evaluated the role of the serum creatine kinase as a possible marker for tubal pregnancy. Three groups of 17 patients each were included in the study: group A, documented tubal pregnancy; group B, spontaneous abortion; and group C, normal pregnancy. Serum was tested for creatine kinase in all of the patients. Creatine kinase level was > 45 IU/L in all patients with tubal pregnancy, significantly higher than the level in patients in either of the two other groups (p < 0.0001). We conclude that a high serum creatine kinase level can be an important diagnostic test in the evaluation of a suspected tubal pregnancy.
Lavie
O
O
Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem, Israel.
Beller
U
U
Neuman
M
M
Ben-Chetrit
A
A
Gottcshalk-Sabag
S
S
Diamant
Y Z
YZ
D000022:Abortion, Spontaneous / Q000097:blood; D003402:Creatine Kinase / Q000097:blood*; D005260:Female; D005544:Forecasting; D006801:Humans; D011247:Pregnancy / Q000097:blood*; D011274:Pregnancy, Tubal / Q000097:blood* / Q000175:diagnosis*; D012016:Reference Values
D003402:Creatine Kinase