| CASE REPORT |
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| Year : 2014 | Volume
: 4
| Issue : 2 | Page : 65-68 |
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Successful Management of Tubal Ectopic Pregnancy with Transvaginal Sonography Guided Intracardiac KCL Injection and Systemic Methotrexate - A Case Report
Sumesh Choudhary1, Vineet V Mishra2
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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. |
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