• Users Online: 402
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2014  |  Volume : 4  |  Issue : 2  |  Page : 65-68

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


1 Assistant Professor, Department of Obstetrics and Gynecology, G.R. Doshi and K.M. Mehta Institute of Kidney Diseases and Research Center, Dr. HL Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa , Ahmedabad, India
2 Professor and Head, Department of Obstetrics and Gynecology, G.R. Doshi and K.M. Mehta Institute of Kidney Diseases and Research Center, Dr. HL Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa , Ahmedabad, India

Correspondence Address:
Vineet V Mishra
Professor and Head, Department of Obstetrics and Gynecology, G.R. Doshi and K.M. Mehta Institute of Kidney Diseases and Research Center, Dr. HL Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa , Ahmedabad
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

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.


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed744    
    Printed13    
    Emailed0    
    PDF Downloaded55    
    Comments [Add]    

Recommend this journal