Successful Management of Tubal Ectopic Pregnancy with Transvaginal Sonography Guided Intracardiac KCL Injection and Systemic Methotrexate - A Case Report

被引：0
|
作者：
Choudhary, Sumesh [1 ]
Mishra, Vineet V. [1 ]
机构：
[1] Dr HL Trivedi Inst Transplantat Sci, GR Doshi & KM Mehta Inst Kidney Dis & Res Ctr, Dept Obstet & Gynecol, Civil Hosp Campus, Ahmadabad, Gujarat, India
来源：
ADVANCES IN HUMAN BIOLOGY | 2014年 / 4卷 / 02期
关键词：
Ectopic pregnancy; Choriogonadotropin; Sonography;
D O I：
暂无
中图分类号：
Q [生物科学];
学科分类号：
07 ; 0710 ; 09 ;
摘要：
Background; Methotrexate (Mtx) is an accepted modality for conservative treatment of ectopic pregnancy. However, there is no consensus regarding its use in live ectopic pregnancy and high serum beta-human chorionic gonadotrophin (beta-hCG) titres. Concurrent use of intra-sac hypertonic KCl, to produce cardiac asystole with systemic Mtx potentially improve outcome in live ectopic gestations with very high serum beta-hCG titres. Here a successful management of live ectopic pregnancy in a 25-year-old nulliparous woman, with very high beta-hCG titres (29502.04mIU/mL), using ultrasound-guided intra-cardiac potassium chloride (KCl) injection and systemic Mtx is reported. No treatment related complications were encountered. However, individualized treatment with a stringent follow-up regime is mandatory in such cases.
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页码：65 / 68
页数：4
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