Ectopic pregnancy in an urban teaching hospital: can tubal rupture be predicted?

Abstract:

:We evaluated the medical history, physical examination, and laboratory tests done on 245 patients with laparoscopically proven ectopic pregnancies. The absence of abdominal pain was the only clinically useful negative predictive value (91%) regarding tubal rupture. Although mean levels of serum human chorionic gonadotropin (hCG-beta subunit) were significantly higher in patients with ruptured versus unruptured ectopic pregnancies (16,612 mIU/mL vs 6406 mIU/mL), no breakpoint excluded the possibility of tubal rupture. In fact, one third of ectopic pregnancies in patients with a serum beta-hCG level below 100 mIU/mL were ruptured. We conclude that clinical symptoms and signs are poor predictors of tubal rupture. In addition, absolute values of serum beta-hCG are not helpful in excluding the possibility of rupture.

journal_name

South Med J

journal_title

Southern medical journal

authors

Hirata AJ,Soper DE,Bump RC,Hurt WG

doi

10.1097/00007611-199112000-00014

subject

Has Abstract

pub_date

1991-12-01 00:00:00

pages

1467-9

issue

12

eissn

0038-4348

issn

1541-8243

journal_volume

84

pub_type

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