Unruptured left cornual pregnancy with a high serum beta-hCG: a case report
Ectopic pregnancy in the interstitial part of the fallopian tube (cornual pregnancy) is a rare condition but can be fatal. Traditionally, the treatment had been cornual resection or hysterectomy. More conservative approaches had been advocated recently. There is no consensus on the dose or number of...
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| Format: | Article |
| Language: | en |
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Department of Surgery, UKM Medical Centre
2011
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| Online Access: | http://journalarticle.ukm.my/928/1/Unruptured_left_cornual_pregnancy_with_a_high_serum__beta-_hCG_A_case_report.pdf http://journalarticle.ukm.my/928/ http://jsurgacad.com/ |
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| _version_ | 1831353096823898112 |
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| author | Nirmala CK, Lim PS, Norzilawati MN, Zainul RAZ, Mohd. Hashim O, |
| author_facet | Nirmala CK, Lim PS, Norzilawati MN, Zainul RAZ, Mohd. Hashim O, |
| author_sort | Nirmala CK, |
| building | Tun Sri Lanang Library |
| collection | Institutional Repository |
| content_provider | Universiti Kebangsaan Malaysia |
| content_source | UKM Journal Article Repository |
| continent | Asia |
| country | Malaysia |
| description | Ectopic pregnancy in the interstitial part of the fallopian tube (cornual pregnancy) is a rare condition but can be fatal. Traditionally, the treatment had been cornual resection or hysterectomy. More conservative approaches had been advocated recently. There is no consensus on the dose or number of methotrexate injections that should be used in the treatment of interstitial pregnancies. Single dose intramuscular methotrexate is one of the treatment options. However, the failure rate is higher if the serum -hCG (beta-human chorionic gonadotrophin) level is more than 5000 IU/L. We report a case of cornual ectopic pregnancy with high initial serum -hCG level being successfully treated with multiple doses of systemic methotrexate. MRI was used to assess clinical resolution of cornual ectopic pregnancy. |
| format | Article |
| id | my-ukm.journal-928 |
| institution | Universiti Kebangsaan Malaysia |
| language | en |
| publishDate | 2011 |
| publisher | Department of Surgery, UKM Medical Centre |
| record_format | eprints |
| spelling | my-ukm.journal-9282016-12-14T06:28:20Z http://journalarticle.ukm.my/928/ Unruptured left cornual pregnancy with a high serum beta-hCG: a case report Nirmala CK, Lim PS, Norzilawati MN, Zainul RAZ, Mohd. Hashim O, Ectopic pregnancy in the interstitial part of the fallopian tube (cornual pregnancy) is a rare condition but can be fatal. Traditionally, the treatment had been cornual resection or hysterectomy. More conservative approaches had been advocated recently. There is no consensus on the dose or number of methotrexate injections that should be used in the treatment of interstitial pregnancies. Single dose intramuscular methotrexate is one of the treatment options. However, the failure rate is higher if the serum -hCG (beta-human chorionic gonadotrophin) level is more than 5000 IU/L. We report a case of cornual ectopic pregnancy with high initial serum -hCG level being successfully treated with multiple doses of systemic methotrexate. MRI was used to assess clinical resolution of cornual ectopic pregnancy. Department of Surgery, UKM Medical Centre 2011-04-04 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/928/1/Unruptured_left_cornual_pregnancy_with_a_high_serum__beta-_hCG_A_case_report.pdf Nirmala CK, and Lim PS, and Norzilawati MN, and Zainul RAZ, and Mohd. Hashim O, (2011) Unruptured left cornual pregnancy with a high serum beta-hCG: a case report. Journal of Surgical Academia, 1 (1). pp. 55-57. ISSN 2231-7481 http://jsurgacad.com/ |
| spellingShingle | Nirmala CK, Lim PS, Norzilawati MN, Zainul RAZ, Mohd. Hashim O, Unruptured left cornual pregnancy with a high serum beta-hCG: a case report |
| title | Unruptured left cornual pregnancy with a high serum beta-hCG: a case report |
| title_full | Unruptured left cornual pregnancy with a high serum beta-hCG: a case report |
| title_fullStr | Unruptured left cornual pregnancy with a high serum beta-hCG: a case report |
| title_full_unstemmed | Unruptured left cornual pregnancy with a high serum beta-hCG: a case report |
| title_short | Unruptured left cornual pregnancy with a high serum beta-hCG: a case report |
| title_sort | unruptured left cornual pregnancy with a high serum beta-hcg: a case report |
| url | http://journalarticle.ukm.my/928/1/Unruptured_left_cornual_pregnancy_with_a_high_serum__beta-_hCG_A_case_report.pdf http://journalarticle.ukm.my/928/ http://jsurgacad.com/ |
| url_provider | http://journalarticle.ukm.my/ |