Laparoscopic removal of a large 8-cm ectopic pregnancy with a negative pregnancy test

Abstract

Ectopic pregnancy has been increasing in frequency over the past years. The first step in the diagnosis of ectopic pregnancy is the demonstration of pregnancy by performing a sensitive qualitative urine test; hence, a negative urine pregnancy test will generally exclude ectopic pregnancy from the differential diagnosis. The following is a report of a patient presenting with abnormal vaginal bleeding for 8 weeks with a negative urine pregnancy test and transvaginal scan suggesting a large 8-cm ectopic pregnancy. This case report demonstrates the importance of keeping the diagnosis of ectopic pregnancy in our mind even with negative urine pregnancy but with atypical presentation and how such large ectopic pregnancies can still be managed laparoscopically.