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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Main Authors:	Nirmala CK, Lim PS, Norzilawati MN, Zainul RAZ, Mohd. Hashim O
Format:	Article
Language:	English
Published:	Department of Surgery, UKM Medical Centre 2011
Online Access:	http://journalarticle.ukm.my/928/ http://journalarticle.ukm.my/928/ http://journalarticle.ukm.my/928/1/Unruptured_left_cornual_pregnancy_with_a_high_serum__beta-_hCG_A_case_report.pdf

id	ukm-928
recordtype	eprints
spelling	ukm-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/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
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
author	Nirmala CK, Lim PS, Norzilawati MN, Zainul RAZ, Mohd. Hashim O,
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
author_facet	Nirmala CK, Lim PS, Norzilawati MN, Zainul RAZ, Mohd. Hashim O,
author_sort	Nirmala CK,
title	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_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_sort	unruptured left cornual pregnancy with a high serum beta-hcg: a case report
publisher	Department of Surgery, UKM Medical Centre
publishDate	2011
url	http://journalarticle.ukm.my/928/ http://journalarticle.ukm.my/928/ http://journalarticle.ukm.my/928/1/Unruptured_left_cornual_pregnancy_with_a_high_serum__beta-_hCG_A_case_report.pdf
first_indexed	2023-09-18T19:31:56Z
last_indexed	2023-09-18T19:31:56Z
_version_	1777405019336736768

Unruptured left cornual pregnancy with a high serum beta-hCG: a case report

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