Mohamad Fadzilah, Yahya Ahmad Shuib, Abdul Rashid Aneesa, Devaraj Navin Kumar, Abdul Manap Abdul Hadi
MB BCH BAO (Ire), MMed Family Medicine (UPM), Department of Family Medicine, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia Selangor, Malaysia. Email:
MBBCh (Ain Shams University), MMed Obstetrics and Gynaecology (USM), Department of Obstetrics and Gynaecology, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.
Malays Fam Physician. 2021 Feb 1;16(1):121-123. doi: 10.51866/cr1117. eCollection 2021 Mar 25.
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.
异位妊娠是指子宫外妊娠,是一种可能危及生命的情况,可导致腹腔内出血死亡。本病例报告了一例罕见的输卵管妊娠破裂,患者最初表现为腹痛,尿妊娠试验阴性,但随后再次出现腹腔内出血的迹象。尿妊娠试验阴性常被用于排除妊娠,但它并非100%敏感。在这一重要诊断中进行全面评估对于规划适当的紧急处理至关重要。