ISSN: 2161-0932
Lee Man Hin Menelik
Queen Elizabeth Hospital,
30 Gascoigne Road, Kowloon
Hong Kong
Case Report
Recurrent Ipsilateral Cornual Pregnancy with High bHCG Level Successfully Treated with Single Dose of Methotrexate Injection: A Case Report
Author(s): Cheng Ka Ning Katherine, Lee Man Hin Menelik and On Kou Kam
Cheng Ka Ning Katherine, Lee Man Hin Menelik and On Kou Kam
Cornual pregnancy is a type of ectopic pregnancy with the highest incidence of mortality. The incidence of recurrent cornual pregnancy is not known. We report a rare case of recurrent ipsilateral cornual ectopic pregnancy with bHCG level >7000 IU/L, which was managed successfully using a single dose of systemic methotrexate injection.
A 33 year old lady had recurrent ipsilateral cornual pregnancy after previous salpingectomy and cornual resection. The size of cornual pregnancy was small and unruptured. The initial bHCG level was 7299 IU/L. She was given medical treatment by a single-dose intramuscular methotrexate injection and the cornual pregnancy was resolved after 5 weeks.
In conclusion, systemic administration of methotrexate can be considered in unruptured cornual pregnancy in a haemodynamically stable patient even with high level of initial bHCG level of .. View More»
DOI:
10.4172/2161-0932.1000227