Methotrexate for Corunal Ectopic Pregnancy

被引：5

作者：

Parker, Barbara M. ^{[1
]}

Gupta, Anupam K. ^{[2
]}

Lymperopoulos, Anastasios ^{[3
]}

Parker, John ^{[4
]}

机构：

[1] AdventHlth Orlando & Rockledge Reg Med Ctr, Clin Pharm, Orlando, FL 32806 USA

[2] Univ Miami Hosp, Minimally Invas Surg, Miami, FL USA

[3] Nova Southeastern Univ, Pharmacol, Ft Lauderdale, FL 33314 USA

[4] Adventhlth Altamonte, Obstet & Gynecol, Altamonte Springs, FL USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2020年 / 12卷 / 08期

关键词：

methotrexate; cornual pregnancy; CORNUAL PREGNANCY; INTERSTITIAL PREGNANCY; MANAGEMENT; INJECTION;

D O I：

10.7759/cureus.9642

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 27-year-old pregnant female presented to the emergency department with pelvic pain and vaginal bleeding. At the time of diagnosis, she had an ectopic pregnancy in the right cornua 4 cm in size with a human chorionic gonadotropin (hCG) value of 14,438 international units per mL. The ectopic pregnancy was initially managed by intramuscular methotrexate. However, after 10 days, despite an hCG value drop to 409 international units per mL, an indication that methotrexate was working, the patient had a subsequent rupture with hemoperitoneum necessitating exploratory laparotomy and abdominal hysterectomy.

引用

页数：5

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