A life-threatening condition — ruptured ectopic pregnancy with negative urine pregnancy test: A case report

• Main Authors: Fadzilah Mohamad, Ahmad Shuib Yahya, Aneesa Abdul Rashid, Navin Kumar Devaraj, Abdul Hadi Abdul Manap
• Format: Article
• Language: English
• Published: Academy of Family Physicians of Malaysia 2021-02-01
• Series: Malaysian Family Physician
• Subjects: ectopic pregnancy; negative urine pregnancy test; ruptured ectopic; reproductive women
• Online Access: https://e-mfp.org/wp-content/uploads/V16N1-CR-A-life-threatening-condition.pdf

Ectopic pregnancy is an extra-uterine pregnancy and is a potentially life-threatening condition that can lead to death from intra-peritoneal hemorrhage. This case reports a rare occurrence of ruptured tubal pregnancy in which the patient presented early with abdominal pain and a negative urine pregnancy test but subsequently presented again with evidence of intra-peritoneal hemorrhage. A negative urine pregnancy test is often used to rule out pregnancy, but it is not 100% sensitive. Complete assessment is critical in this important diagnosis in order to plan for the appropriate emergency management.