A Ruptured Ectopic Pregnancy Presenting with a Negative Urine Pregnancy Test.
A negative urine pregnancy test in the emergency department traditionally excludes the diagnosis of pregnancy. We report a rare case of ruptured ectopic pregnancy in a patient with a negative urine pregnancy test but with a serum beta-human chorionic gonadotropin (β-hCG) of 10 mIU/mL. The patient developed hemoperitoneum and required laparoscopy by Obstetrics and Gynecology (OB/Gyn). This case highlights the fallibility of the urine pregnancy test in diagnosing early pregnancy.
Department of Emergency Medicine, University Hospitals Case Medical Center, Cleveland, OH 44106, USA.
Johnathan Michael
0000-0003-4503-8590
JM
Sheele
New York-Presbyterian Hospital/Columbia University Medical Center, New York, NY 10032, USA.
Rachel
R
Bernstein
Department of Emergency Medicine, Eastern Virginia Medical School and Emergency Physicians of Tidewater, Norfolk, VA 23507, USA.
Francis L
FL
Counselman
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