Hughes Mallory, Lupo Andrew, Browning Adrianne
Department of Obstetrics and Gynecology, Baylor University Medical Center at Dallas (Hughes, Browning), and Texas A&M Health Science Center College of Medicine (Lupo), Dallas, Texas.
Proc (Bayl Univ Med Cent). 2017 Jan;30(1):97-98. doi: 10.1080/08998280.2017.11929547.
Ectopic pregnancy is commonly seen as a differential diagnosis of first-trimester vaginal bleeding. Often the diagnosis is made based on a combination of exam findings, transvaginal ultrasound, and a positive pregnancy test. Our case describes a patient with a history of ectopic pregnancy treated with methotrexate and serial human chorionic gonadotropin measurements that were decreasing appropriately. At the time of evaluation, her urine pregnancy test was negative; however, she was confirmed to have a ruptured tubal ectopic pregnancy. This case highlights the variable presentation of ectopic pregnancies and the importance of combining exam findings with ultrasound and laboratory results.
异位妊娠通常被视为孕早期阴道出血的鉴别诊断。诊断往往基于检查结果、经阴道超声检查以及妊娠试验阳性的综合判断。我们的病例描述了一名有异位妊娠病史的患者，曾接受甲氨蝶呤治疗且人绒毛膜促性腺激素系列测量值呈适当下降。在评估时，她的尿妊娠试验为阴性；然而，她被确诊为输卵管异位妊娠破裂。该病例凸显了异位妊娠表现的多样性以及将检查结果与超声和实验室结果相结合的重要性。
