Document Detail


Unilateral tubal twin ectopic pregnancy treated with single-dose methotrexate.
MedLine Citation:
PMID:  20376673     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Spontaneous tubal twin pregnancy is a rare condition with an incidence of 1 in every 125,000 pregnancies. We present the case of a unilateral tubal twin ectopic pregnancy treated with single-dose methotrexate.
CASE: A 26-year-old nulliparous woman was admitted to our clinic with a complaint of vaginal bleeding and leftside pelvic pain. Her serum β-human chorionic gonadotropin (β-hCG) level was 18,780 mIU/mL and ultrasound revealed tubal twin pregnancy of 7 weeks' gestation. Because her vital signs were stable and no sign of tubal rupture was present, we performed single-dose (100 mg) methotrexate intramuscularly. In the follow-up, serum β-hCG levels were found to be 7,600 mIU/ml on day 7, 948 mIU/ml on day 20, 126 mIU/ml on day 26 and <10 mIU/ml on day 42.
CONCLUSION: Methotrexate theraphy may be preferred in tubal twin ectopic pregnancies when the vital signs of the patient are stable and the fetal cardiac activities are negative.
Authors:
Deniz Cemgil Arikan; Gurkan Kiran; Ayhan Coskun; Bulent Kostu
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Publication Detail:
Type:  Journal Article     Date:  2010-04-08
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  283     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  397-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Kahramanmaras Sutcu Imam University, Yörük Selim Mah. Gazi Mustafa Kuşçu Cad., 46050, Kahramanmaraş, Turkey, drdenizarikan@hotmail.com.
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