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. 2025 Jun 5;312(3):833–839. doi: 10.1007/s00404-025-08069-5
Differentiating tubal rupture from tubal abortion in ectopic pregnancies is challenging. Free pelvic fluid on ultrasound strongly indicates rupture. However, over 65% of urgent surgeries for suspected rupture revealed tubal abortion instead, emphasizing the need for improved diagnostic accuracy.