Ruptured Ectopic Pregnancy Misdiagnosed with Ruptured Corpus Luteum: A Case Report and Literature Review
Ectopic pregnancy can be mistakenly reported as a ruptured corpus luteum. A 22-year-old woman was initially misdiagnosed with a ruptured corpus luteum and treated with analgesics at a local clinic. Persistent symptoms led her to our hospital, where a pelvic ultrasound revealed a 5.2 cm ×4.8 cm hemat...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Gynecology and Minimally Invasive Therapy |
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| Online Access: | https://journals.lww.com/10.4103/gmit.GMIT-D-24-00006 |
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| author | Wing Yu Sharon Siu Dah-Ching Ding |
| author_facet | Wing Yu Sharon Siu Dah-Ching Ding |
| author_sort | Wing Yu Sharon Siu |
| collection | DOAJ |
| description | Ectopic pregnancy can be mistakenly reported as a ruptured corpus luteum. A 22-year-old woman was initially misdiagnosed with a ruptured corpus luteum and treated with analgesics at a local clinic. Persistent symptoms led her to our hospital, where a pelvic ultrasound revealed a 5.2 cm ×4.8 cm hematoma. Despite the significant hematoma, her vital signs were stable. A urine pregnancy test was positive, β-hCG was 5553 mIU/mL, and hemoglobin (Hb) was 6.3 g/dL. After a blood transfusion, methotrexate (MTX) was administered, reducing β-hCG to 4428 mIU/mL by day 5. Four weeks later, β-hCG was 723.6 mIU/mL, and a second MTX dose was given. Three weeks later, β-hCG was 4.7 mIU/mL, and Hb was 12.4 g/dL. In conclusion, a “wait-and-see” approach with serial hCG testing and repeated ultrasounds is recommended in unclear cases. |
| format | Article |
| id | doaj-art-1715fd1e37384ab5b0f47c4c2eb5c8b3 |
| institution | OA Journals |
| issn | 2213-3070 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Gynecology and Minimally Invasive Therapy |
| spelling | doaj-art-1715fd1e37384ab5b0f47c4c2eb5c8b32025-08-20T02:34:40ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702025-04-0114218919210.4103/gmit.GMIT-D-24-00006Ruptured Ectopic Pregnancy Misdiagnosed with Ruptured Corpus Luteum: A Case Report and Literature ReviewWing Yu Sharon SiuDah-Ching DingEctopic pregnancy can be mistakenly reported as a ruptured corpus luteum. A 22-year-old woman was initially misdiagnosed with a ruptured corpus luteum and treated with analgesics at a local clinic. Persistent symptoms led her to our hospital, where a pelvic ultrasound revealed a 5.2 cm ×4.8 cm hematoma. Despite the significant hematoma, her vital signs were stable. A urine pregnancy test was positive, β-hCG was 5553 mIU/mL, and hemoglobin (Hb) was 6.3 g/dL. After a blood transfusion, methotrexate (MTX) was administered, reducing β-hCG to 4428 mIU/mL by day 5. Four weeks later, β-hCG was 723.6 mIU/mL, and a second MTX dose was given. Three weeks later, β-hCG was 4.7 mIU/mL, and Hb was 12.4 g/dL. In conclusion, a “wait-and-see” approach with serial hCG testing and repeated ultrasounds is recommended in unclear cases.https://journals.lww.com/10.4103/gmit.GMIT-D-24-00006case reportcorpus luteumectopic pregnancyhematomamethotrexateruptured |
| spellingShingle | Wing Yu Sharon Siu Dah-Ching Ding Ruptured Ectopic Pregnancy Misdiagnosed with Ruptured Corpus Luteum: A Case Report and Literature Review Gynecology and Minimally Invasive Therapy case report corpus luteum ectopic pregnancy hematoma methotrexate ruptured |
| title | Ruptured Ectopic Pregnancy Misdiagnosed with Ruptured Corpus Luteum: A Case Report and Literature Review |
| title_full | Ruptured Ectopic Pregnancy Misdiagnosed with Ruptured Corpus Luteum: A Case Report and Literature Review |
| title_fullStr | Ruptured Ectopic Pregnancy Misdiagnosed with Ruptured Corpus Luteum: A Case Report and Literature Review |
| title_full_unstemmed | Ruptured Ectopic Pregnancy Misdiagnosed with Ruptured Corpus Luteum: A Case Report and Literature Review |
| title_short | Ruptured Ectopic Pregnancy Misdiagnosed with Ruptured Corpus Luteum: A Case Report and Literature Review |
| title_sort | ruptured ectopic pregnancy misdiagnosed with ruptured corpus luteum a case report and literature review |
| topic | case report corpus luteum ectopic pregnancy hematoma methotrexate ruptured |
| url | https://journals.lww.com/10.4103/gmit.GMIT-D-24-00006 |
| work_keys_str_mv | AT wingyusharonsiu rupturedectopicpregnancymisdiagnosedwithrupturedcorpusluteumacasereportandliteraturereview AT dahchingding rupturedectopicpregnancymisdiagnosedwithrupturedcorpusluteumacasereportandliteraturereview |