Medical management of ectopic pregnancy with extremely high ?-HCG levels: A case report

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dc.authorscopusid7003740112
dc.authorscopusid7004415692
dc.authorscopusid6602675218
dc.authorscopusid35606878500
dc.contributor.authorYüce M.A.
dc.contributor.authorGücer F.
dc.contributor.authorBalkanli-Kaplan P.
dc.contributor.authorSayin N.C.
dc.date.accessioned2024-06-12T10:28:08Z
dc.date.available2024-06-12T10:28:08Z
dc.date.issued2004
dc.description.abstractWe report the successful treatment of an unruptured ectopic pregnancy in a patient with extremely high ?-human chorionic gonadotropin concentrations. A 33-year-old woman, gravida 2, para 0, abortus 1, presented to our department due to menstrual delay. On transvaginal ultrasonography, she had an unruptured ectopic pregnancy (3.5 × 4.5 cm). Her initial ?-HCG concentration was 38,270 mIU/ml. The administration of methotrexate (50 mg/m2) was performed intramuscularly. Serum ?-HCG levels decreased > 15% between post-therapy days 4 (31,324 mIU/ml) and 7 (13,108 mIU/ml), and did not rise during the subsequent weekly controls. In selected cases with unruptured ectopic pregnancy and extremely high initial ?-HCG levels, medical management with a single-dose methotrexate regimen may be successful.en_US
dc.identifier.endpage243en_US
dc.identifier.issn0390-6663
dc.identifier.issue3en_US
dc.identifier.pmid15491075en_US
dc.identifier.scopus2-s2.0-4644254108en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage242en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/17088
dc.identifier.volume31en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofClinical and Experimental Obstetrics and Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHigh ?-Hcg; Methotrexate; Unruptured Ectopic Pregnancyen_US
dc.subjectChorionic Gonadotropin Beta Subunit; Methotrexate; Adult; Article; Case Report; Color Ultrasound Flowmetry; Disease Course; Dizziness; Ectopic Pregnancy; Female; Hormone Blood Level; Hospital Admission; Human; Menstruation Disorder; Nausea; Transvaginal Echography; Treatment Outcome; Abortifacient Agents, Nonsteroidal; Adult; Chorionic Gonadotropin, Beta Subunit, Human; Female; Humans; Injections, Intramuscular; Methotrexate; Pregnancy; Pregnancy, Ectopicen_US
dc.titleMedical management of ectopic pregnancy with extremely high ?-HCG levels: A case reporten_US
dc.typeArticleen_US

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