Ruptured ectopic pregnancy presenting with hyperglycaemia.
A ruptured ectopic pregnancy is always an emergency. The key to successful treatment is early diagnosis, which is not always easy, mainly because typical presenting features may be absent. We report a case of a ruptured ectopic pregnancy that presented with a gastroenteritis illness together with hyperglycaemia, leading to an initial diagnosis of diabetes mellitus. The patient was treated successfully, however, once the correct diagnosis had been made. We conclude that a urine pregnancy test should be a routine procedure in all abdominal emergencies involving female patients of childbearing age, to avoid misdiagnosis or a delay in diagnosis.
Bhattacharyya
A
A
Department of Medicine (Division of Diabetes and Endocrinology), Royal Albert Edward Infirmary, Wigan, Lancashire, UK.
Tymms
D J
DJ
D000328:Adult; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D005759:Gastroenteritis / Q000209:etiology*; D006801:Humans; D006943:Hyperglycemia / Q000209:etiology*; D007813:Laparotomy; D011247:Pregnancy; D011258:Pregnancy Tests; D011271:Pregnancy, Ectopic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012422:Rupture, Spontaneous; D016896:Treatment Outcome