{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:24:56Z","timestamp":1761128696443,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Accid Emerg Med"],"published-print":{"date-parts":[[1998,5]]},"abstract":"<jats:p>A 27 year old woman had a three day history of pain in the cutaneous distribution of the left obturator nerve before she developed the classical picture of ectopic pregnancy with lower abdominal pain and vaginal bleeding. A left tubal pregnancy was subsequently confirmed by laparoscopy. Referred pain along the obturator nerve has been reported in other pelvic conditions, but has not previously been reported as a manifestation of ectopic pregnancy. Ectopic pregnancy may present with a very wide range of signs and symptoms and should be excluded in females of child bearing age with unexplained symptoms including pain anywhere from the shoulder down to the knee.<\/jats:p>","DOI":"10.1136\/emj.15.3.192","type":"journal-article","created":{"date-parts":[[2008,10,30]],"date-time":"2008-10-30T17:54:16Z","timestamp":1225389256000},"page":"192-193","source":"Crossref","is-referenced-by-count":5,"title":["Ectopic pregnancy presenting with obturator nerve pain."],"prefix":"10.1136","volume":"15","author":[{"given":"H S","family":"Ali","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1998,5,1]]},"reference":[{"key":"ref_1","first-page":"157","article-title":"Abortion and ectopic pregnancy","volume-title":"Dewhurst's textbook of obstetrics and gynaecology for postgraduates","author":"Howie, P.W.","year":"1995","unstructured":"Howie PW. Abortion and ectopic pregnancy. In: Whitfield CR, ed. Dewhurst's textbook of obstetrics and gynaecology for postgraduates, 5th ed. Oxford: Blackwell Science, 1995:157-8.","edition":"5th ed"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1111\/j.1742-1241.1993.tb10422.x","article-title":"An unusual presentation of bilateral tubal ectopic pregnancy","volume":"47","author":"Erian, M.; McLaren, G.R.","year":"1993","unstructured":"Erian M, McLaren GR. An unusual presentation of bilateral tubal ectopic pregnancy. Br J Clin Pract 1993;47:161-2.","journal-title":"Br J Clin Pract"},{"key":"ref_3","first-page":"151","article-title":"Ectopic pregnancy presenting as lower gastro-intestinal haemorrhage","volume":"15","author":"Verma, G.R.; Kochhar, R.; Rajwanshi, A.","year":"1996","unstructured":"Verma GR, Kochhar R, Rajwanshi A. Ectopic pregnancy presenting as lower gastro-intestinal haemorrhage. Ind J Gastroenterol 1996;15:151.","journal-title":"Ind J Gastroenterol"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1111\/j.1742-1241.1997.tb09629.x","article-title":"Bilateral tubal ectopic pregnancy: diagnostic pitfalls","volume":"51","author":"FL, De Graaf; C, Demetroulis","year":"1997","unstructured":"De Graaf FL, Demetroulis C. Bilateral tubal ectopic pregnancy: diagnostic pitfalls. Br J Clin Pract 1997;51: 56-8.","journal-title":"Br J Clin Pract"},{"issue":"1","key":"ref_5","first-page":"321","article-title":"Acute tubal pregnancy in negative pregnancy test","volume":"33","author":"Honigl, W.; Schmid, C.; Lang, P.; Tamussino, K.","year":"1993","unstructured":"Honigl W, Schmid C, Lang P, Tamussino K. Acute tubal pregnancy in negative pregnancy test. GynakologischGeburtshilfliche Rundschau 1993;33(suppl 1):321.","journal-title":"GynakologischGeburtshilfliche Rundschau"},{"key":"ref_6","article-title":"Reproductive system","author":"Bannister, L.H.; Dyson, M.","unstructured":"Bannister LH, Dyson M. Reproductive system. In: Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, et al, eds. Gray's anatomy, 38th ed. Edinburgh: Churchill Livingstone, 1995:1861.","edition":"38th ed"},{"key":"ref_7","first-page":"391","article-title":"Last's anatomy","author":"McMinn, R.M.H.","year":"1994","unstructured":"McMinn RMH. Last's anatomy, 9th ed. Edinburgh: Churchill Livingstone, 1994:391.","edition":"9th ed"},{"key":"ref_8","first-page":"434","article-title":"Endometriosis of the obturator nerve","volume":"35","year":"1990","unstructured":"Redwine DB, Sharpe DR. Endometriosis of the obturator nerve. 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Comput Tomogr 1981;5:221-4.","journal-title":"Comput Tomogr"},{"key":"ref_11","first-page":"10","article-title":"Pain in the knee as a first symptom of retroperitoneal space occupying processes","volume-title":"Zeitschrift","volume":"120","author":"Stoltze, D.; Harms, J.; Bottger, E.; Heckl, R.W.","year":"1982","unstructured":"Stoltze D, Harms J, Bottger E, Heckl RW. Pain in the knee as a first symptom of retroperitoneal space occupying processes. Zeitschrift fur Orthopadie und Ihre Grenzgebiete 1982;120:10-13."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1408","DOI":"10.2106\/00004623-198971090-00021","article-title":"Obturator neuropathy caused by an aneurysm of the hypogastric artery","volume":"71","author":"Kleiner, J.B.; Thorne, R.P.","year":"1989","unstructured":"Kleiner JB, Thorne RP. Obturator neuropathy caused by an aneurysm of the hypogastric artery. J Bone Joint Surg Am 1989;71:1408-9.","journal-title":"J Bone Joint Surg Am"},{"key":"ref_13","first-page":"457","article-title":"Thigh neuralgia as a symptom of obturator hernia","volume":"142","author":"Somell, A.; Ljungdahl, I.; Spangen, L.","year":"1976","unstructured":"Somell A, Ljungdahl I, Spangen L. Thigh neuralgia as a symptom of obturator hernia. 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