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Title of Journal: Arch Gynecol Obstet

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Abbravation: Archives of Gynecology and Obstetrics

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Springer-Verlag

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DOI

10.1007/s00404-009-0983-6

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1432-0711

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Successful management of live ectopic pregnancy wi

Authors: Vatsla Dadhwal Deepika Deka Bhaswati Ghosh Suneeta Mittal
Publish Date: 2009/02/20
Volume: 280, Issue: 5, Pages: 799-801
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Abstract

We report a successful management of live ectopic pregnancy in a 27yearold nulliparous woman with very high βhCG titres 89200 mIU/mL using ultrasoundguided intrasac potassium chloride KCl injection and systemic Mtx Successful resolution of the ectopic pregnancy with negative serum βhCG 1 mIU/mL was achieved after three doses of Mtx and a prolonged followup of 71 days No treatment related complications were encounteredConcurrent use of intrasac hypertonic KCl to produce cardiac asystole with systemic Mtx could potentially improve outcome in live ectopic gestations with very high serum βhCG titres However individualised treatment with a stringent followup regime is mandatory in such cases

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