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Clinical PracticeFree Preview

Ectopic Pregnancy

List of authors.
  • Kurt T. Barnhart, M.D., M.S.C.E.

A healthy 29-year-old woman who has been trying to conceive presents with vaginal spotting for the past 5 days and intermittent crampy abdominal pain in her left lower quadrant for the past 3 days. Her last menstrual period was 6 weeks and 2 days before presentation. She has had a spontaneous vaginal delivery and an anembryonic gestation treated by dilation and curettage. How should this patient be evaluated and treated?

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Funding and Disclosures

Supported by a grant (R01 HD36455) from the National Institutes of Health.

No potential conflict of interest relevant to this article was reported.

An audio versionof this article is available at NEJM.org.

Author Affiliations

From the Department of Obstetrics and Gynecology, University of Pennsylvania Medical Center, Philadelphia.

Address reprint requests to Dr. Barnhart at the Department of Obstetrics and Gynecology, 3701 Market St., 8th Fl., Philadelphia, PA 19104, or at .

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