Successful Management of Tubal Ectopic Pregnancy with Transvaginal Sonography Guided Intracardiac KCL Injection and Systemic Methotrexate - A Case Report
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 (β-hCG) titres. Concurrent use of intra-sac hypertonic KCl, to produce...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Advances in Human Biology |
| Subjects: | |
| Online Access: | http://www.aihbonline.com/article.asp?issn=2321-8568;year=2014;volume=4;issue=2;spage=65;epage=68;aulast=Choudhary;type=0 |
| _version_ | 1819153001364848640 |
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| author | Sumesh Choudhary Vineet V Mishra |
| author_facet | Sumesh Choudhary Vineet V Mishra |
| author_sort | Sumesh Choudhary |
| collection | DOAJ |
| description | 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 (β-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 β-hCG titres. Here a successful management of live ectopic pregnancy in a 25-year-old nulliparous woman, with very high β-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. |
| first_indexed | 2024-12-22T14:58:14Z |
| format | Article |
| id | doaj.art-097a44262b754ec686397cb223cbc276 |
| institution | Directory Open Access Journal |
| issn | 2321-8568 2348-4691 |
| language | English |
| last_indexed | 2024-12-22T14:58:14Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Advances in Human Biology |
| spelling | doaj.art-097a44262b754ec686397cb223cbc2762022-12-21T18:22:10ZengWolters Kluwer Medknow PublicationsAdvances in Human Biology2321-85682348-46912014-01-01426568Successful Management of Tubal Ectopic Pregnancy with Transvaginal Sonography Guided Intracardiac KCL Injection and Systemic Methotrexate - A Case ReportSumesh ChoudharyVineet V MishraBackground: 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 (β-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 β-hCG titres. Here a successful management of live ectopic pregnancy in a 25-year-old nulliparous woman, with very high β-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.http://www.aihbonline.com/article.asp?issn=2321-8568;year=2014;volume=4;issue=2;spage=65;epage=68;aulast=Choudhary;type=0Ectopic pregnancyChoriogonadotropinSonography. |
| spellingShingle | Sumesh Choudhary Vineet V Mishra Successful Management of Tubal Ectopic Pregnancy with Transvaginal Sonography Guided Intracardiac KCL Injection and Systemic Methotrexate - A Case Report Advances in Human Biology Ectopic pregnancy Choriogonadotropin Sonography. |
| title | Successful Management of Tubal Ectopic Pregnancy with Transvaginal Sonography Guided Intracardiac KCL Injection and Systemic Methotrexate - A Case Report |
| title_full | Successful Management of Tubal Ectopic Pregnancy with Transvaginal Sonography Guided Intracardiac KCL Injection and Systemic Methotrexate - A Case Report |
| title_fullStr | Successful Management of Tubal Ectopic Pregnancy with Transvaginal Sonography Guided Intracardiac KCL Injection and Systemic Methotrexate - A Case Report |
| title_full_unstemmed | Successful Management of Tubal Ectopic Pregnancy with Transvaginal Sonography Guided Intracardiac KCL Injection and Systemic Methotrexate - A Case Report |
| title_short | Successful Management of Tubal Ectopic Pregnancy with Transvaginal Sonography Guided Intracardiac KCL Injection and Systemic Methotrexate - A Case Report |
| title_sort | successful management of tubal ectopic pregnancy with transvaginal sonography guided intracardiac kcl injection and systemic methotrexate a case report |
| topic | Ectopic pregnancy Choriogonadotropin Sonography. |
| url | http://www.aihbonline.com/article.asp?issn=2321-8568;year=2014;volume=4;issue=2;spage=65;epage=68;aulast=Choudhary;type=0 |
| work_keys_str_mv | AT sumeshchoudhary successfulmanagementoftubalectopicpregnancywithtransvaginalsonographyguidedintracardiackclinjectionandsystemicmethotrexateacasereport AT vineetvmishra successfulmanagementoftubalectopicpregnancywithtransvaginalsonographyguidedintracardiackclinjectionandsystemicmethotrexateacasereport |