TITLE:
A Case of Ectopic Pregnancy—An Unusual Diagnostic Challenge and Lesson Learnt
AUTHORS:
Awatuf Elshirif, Seema Sadiq
KEYWORDS:
Ectopic, Pregnancy, Test, Mirena
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.4,
March
30,
2015
ABSTRACT: Ectopic pregnancy has been increasing
in frequency over the past 2 decades. The sudden rupture of ectopic pregnancy
can lead to haemorrhagic shock and death if not diagnosed and treated in a
timely fashion. The first step in the diagnosis of ectopic pregnancy is
demonstration of pregnancy by means of a rapidly performed and sensitive
qualitative urine test for the beta-subunit of human chorionic gonadotropin
(beta-hCG). This case report demonstrates the importance of further
consideration of the diagnosis of ectopic pregnancy in the setting of an
unusual presentation like per rectal bleed and amenorrhea for three years in
the presence of Mirena.