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Journal of Obstetrics and Gynaecology Volume 37, 2017 - Issue 7
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Case Report

Ruptured ectopic pregnancy with a negative urinary pregnancy test after methotrexate treatment – challenges of diagnosis in the emergency department

Hasan QayyumEmergency Department, Northern General Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK; Correspondence[email protected]
,
Shammi RamlakhanSheffield Children’s Hospital NHS Foundation Trust, Sheffield, UK;
,
Remon KeriakosDepartment of Obstetrics and Gynaecology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
&
Babu GunasekaranEmergency Department, Northern General Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK;
Pages 958-959 | Published online: 09 Jun 2017

References

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  • National Institute for Health and Clinical Excellence. 2012. Ectopic Pregnancy and Miscarriage: diagnosis and initial management in early pregnancy of ectopic pregnancy and miscarriage. [Online] Available from: www.nice.org.uk/CG154
  • Nishijima K, Shukunami K, Tsuyoshi H, Hattori Y, Yoshida Y, Kotsuji F. 2005. Ruptured interstitial pregnancy caused by inactive chorionic villi presenting with negative serum hCG. The American Journal of Emergency Medicine 23:89.
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  • van Mello N, Mol F, Verhoeve H, van Wely M, Adriaanse A, Boss E, et al. 2013. Methotrexate or expectant management in women with an ectopic pregnancy or pregnancy of unknown location and low serum hCG concentrations? A randomized comparison. Human Reproduction 28:60–67.

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