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Advanced tubal pregnancy,a rare complication misinterpreted twice on ultrasound imaging and discovered at hysterectomy, is described.

With no reliable screening tests available, ob/gyns have tried to use their clinical judgment and the patient's medical history to detect the disease in its early stages. Recent studies have found, however, that a specific set of persistent signs and symptoms may signal emerging disease and warrant follow-up diagnostic testing.

With no clear-cut set of signs and symptoms to advertise its presence, experts suggest diagnosis may require MRI, transvaginal U/S, and/or needle biopsy. Among your treatment options: hysterectomy, GnRH agonists, and the levonorgestrel IUD.

Treat your nonpregnant patient with one of these drug regimens to reduce out-of-control blood loss while she's waiting for the operating room-and she may not need surgery to stop hemorrhage, after all, says this expert. Noting that our standard treatments for this challenging, often overlooked emergency are based on scant data, he assesses your options.

Treat your nonpregnant patient with one of these drug regimens to reduce out-of-control blood loss while she's waiting for the operating room-and she may not need surgery to stop hemorrhage, after all, says this expert. Noting that our standard treatments for this challenging, often overlooked emergency are based on scant data, he assesses your options.

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