Can I be pregnant? – Diagnostic challenges in ruptured chronic ectopic pregnancy
Ectopic pregnancy is an obstetric emergency which accounts for 4% of all pregnancy-related deaths. All women of child bearing age with abdominal pain or vaginal bleeding presenting to the Emergency Department should be evaluated forectopic pregnancy. However, there have been many reported cases...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2021
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| Online Access: | http://journalarticle.ukm.my/18288/ http://journalarticle.ukm.my/18288/1/25_ms0436_pdf_79787.pdf |
| _version_ | 1848814532356472832 |
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| author | Bhasyani Nagaretnam, Shamsuriani Md Jamal, Ng, BK Janisha SR, |
| author_facet | Bhasyani Nagaretnam, Shamsuriani Md Jamal, Ng, BK Janisha SR, |
| author_sort | Bhasyani Nagaretnam, |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | Ectopic pregnancy is an obstetric emergency which accounts for 4% of all
pregnancy-related deaths. All women of child bearing age with abdominal pain or
vaginal bleeding presenting to the Emergency Department should be evaluated forectopic pregnancy. However, there have been many reported cases of diagnostic
challenges of ectopic pregnancy. One rare variant of ectopic pregnancy that can be
easily overlooked is chronic ectopic pregnancy. We present this case of a 39-year-old female, who presented with acute abdomen and free fluid in her abdomen.
Urine pregnancy test indicated she was not pregnant. However, intraoperative
findings confirmed left tubular pregnancy. We would like to highlight three major
diagnostic challenges we faced in this case i.e.; (i) women of child bearing age with
abdominal pain should always be evaluated for ectopic pregnancy; (ii) diagnosis
of ectopic pregnancy should not be dismissed even though the pregnancy test is
negative; and (iii) the role of computed tomography (CT) scan in acute abdomen
of unclear aetiology. As a rule, all haemodynamically unstable acute abdomen
should be sent to the operation theatre. Haemodynamically stable patients should
be carefully evaluated to facilitate surgical management. |
| first_indexed | 2025-11-15T00:35:35Z |
| format | Article |
| id | oai:generic.eprints.org:18288 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:35:35Z |
| publishDate | 2021 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:182882022-03-25T01:59:50Z http://journalarticle.ukm.my/18288/ Can I be pregnant? – Diagnostic challenges in ruptured chronic ectopic pregnancy Bhasyani Nagaretnam, Shamsuriani Md Jamal, Ng, BK Janisha SR, Ectopic pregnancy is an obstetric emergency which accounts for 4% of all pregnancy-related deaths. All women of child bearing age with abdominal pain or vaginal bleeding presenting to the Emergency Department should be evaluated forectopic pregnancy. However, there have been many reported cases of diagnostic challenges of ectopic pregnancy. One rare variant of ectopic pregnancy that can be easily overlooked is chronic ectopic pregnancy. We present this case of a 39-year-old female, who presented with acute abdomen and free fluid in her abdomen. Urine pregnancy test indicated she was not pregnant. However, intraoperative findings confirmed left tubular pregnancy. We would like to highlight three major diagnostic challenges we faced in this case i.e.; (i) women of child bearing age with abdominal pain should always be evaluated for ectopic pregnancy; (ii) diagnosis of ectopic pregnancy should not be dismissed even though the pregnancy test is negative; and (iii) the role of computed tomography (CT) scan in acute abdomen of unclear aetiology. As a rule, all haemodynamically unstable acute abdomen should be sent to the operation theatre. Haemodynamically stable patients should be carefully evaluated to facilitate surgical management. Pusat Perubatan Universiti Kebangsaan Malaysia 2021-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/18288/1/25_ms0436_pdf_79787.pdf Bhasyani Nagaretnam, and Shamsuriani Md Jamal, and Ng, BK and Janisha SR, (2021) Can I be pregnant? – Diagnostic challenges in ruptured chronic ectopic pregnancy. Medicine & Health, 16 (2). pp. 301-308. ISSN 2289-5728 https://medicineandhealthukm.com/toc/16/2 |
| spellingShingle | Bhasyani Nagaretnam, Shamsuriani Md Jamal, Ng, BK Janisha SR, Can I be pregnant? – Diagnostic challenges in ruptured chronic ectopic pregnancy |
| title | Can I be pregnant? – Diagnostic challenges in ruptured chronic ectopic pregnancy |
| title_full | Can I be pregnant? – Diagnostic challenges in ruptured chronic ectopic pregnancy |
| title_fullStr | Can I be pregnant? – Diagnostic challenges in ruptured chronic ectopic pregnancy |
| title_full_unstemmed | Can I be pregnant? – Diagnostic challenges in ruptured chronic ectopic pregnancy |
| title_short | Can I be pregnant? – Diagnostic challenges in ruptured chronic ectopic pregnancy |
| title_sort | can i be pregnant? – diagnostic challenges in ruptured chronic ectopic pregnancy |
| url | http://journalarticle.ukm.my/18288/ http://journalarticle.ukm.my/18288/ http://journalarticle.ukm.my/18288/1/25_ms0436_pdf_79787.pdf |