Mayuga Tom J, Antonios Amir, Hutchins Shanna, Saint-Louis Hedwige
Family Medicine, WellStar Atlanta Medical Center, Atlanta, USA.
Family Medicine, Ross University School of Medicine, Atlanta, USA.
Cureus. 2022 Jun 17;14(6):e26027. doi: 10.7759/cureus.26027. eCollection 2022 Jun.
Interstitial ectopic pregnancy can be a life-threatening condition as the myometrial tissue around the gestational sac is thin. Furthermore, the interstitial aspect of the fallopian tubes is highly vascularized. Thus, a rupture in this area can result in catastrophic hemorrhage, hemoperitoneum, and shock. Therefore, surgical management is often the preferred mode of therapy. This report identifies the successful medical management of a patient with interstitial ectopic pregnancy with β-hCG of more than 39,000 utilizing methotrexate.
间质部异位妊娠可能是一种危及生命的情况,因为妊娠囊周围的子宫肌层组织很薄。此外,输卵管间质部血管高度丰富。因此,该区域的破裂可导致灾难性出血、腹腔积血和休克。所以,手术治疗通常是首选的治疗方式。本报告确定了一名间质部异位妊娠患者,其β - 人绒毛膜促性腺激素超过39000,使用甲氨蝶呤进行药物治疗成功的案例。