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Article
May 1939

ECTOPIC PREGNANCY, A DIAGNOSTIC PROBLEM IN GYNECOLOGYREPORT OF A CASE

Author Affiliations

NEW YORK
From the Gynecologic Service of the Mount Sinai Hospital.

Arch Surg. 1939;38(5):864-868. doi:10.1001/archsurg.1939.01200110070006

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Abstract

The case here described is of interest and importance because it represents a limited group of tubal gestations in which tests for pregnancy yield negative reactions. It brings to attention, also, a limitation of the pregnancy test infrequently set forth in the literature.

An intricate diagnostic problem arose in connection with a patient with a suspected tubal abortion. The classic clinical evidence was not present. Two tests for pregnancy gave negative results, and since curettings revealed no decidual reaction, laparotomy was delayed for thirty-five days. The reason for the inadequacy of the test in this instance is clearly illustrated by the pathologic findings. Consideration of this factor is therefore of utmost value in the diagnosis of tubal abortion.

REPORT OF CASE  S. B., aged 28, had been married six years and had always had normal and regular menstrual periods. The past history was irrelevant except for an induced abortion in

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