Mejia Kathleen, Ajith Tara, Memtsa Maria, Kirk Emma
Royal Free London NHS Foundation Trust, Royal Free Hospital, Pond Street, London NW3 2QG, UK.
Institute for Women's Health, University College London, London, UK.
Case Rep Womens Health. 2025 Aug 5;47:e00739. doi: 10.1016/j.crwh.2025.e00739. eCollection 2025 Oct.
Expectant management of ectopic pregnancy employs regular monitoring of serum β-hCG levels until pregnancy testing is negative and the patient is asymptomatic. Although not routinely assessed in clinical practice, physical resolution of ectopic pregnancy can be determined via direct visualisation on transvaginal ultrasound. This report concerns the case of a woman in her late 20s who was managed expectantly for a right tubal ectopic pregnancy. Biochemical resolution was achieved 28 days from initial presentation. She was followed up with serial transvaginal ultrasound scans, as per unit protocol. During her follow-up, she conceived and transvaginal ultrasound scans showed a concurrent live normally sited pregnancy alongside the residual right tubal ectopic pregnancy. In view of this, she was followed up regularly until 13 + 0 weeks into her current pregnancy, when the residual ectopic pregnancy was no longer visualised.
异位妊娠的期待治疗是定期监测血清β - hCG水平，直至妊娠试验呈阴性且患者无症状。虽然在临床实践中并非常规评估，但异位妊娠的自然消退可通过经阴道超声直接观察来确定。本报告涉及一名28岁晚期女性，她因右侧输卵管异位妊娠接受期待治疗。自初次就诊28天后实现了生化消退。按照科室规程，对她进行了一系列经阴道超声扫描随访。在随访期间，她怀孕了，经阴道超声扫描显示在残留的右侧输卵管异位妊娠旁同时存在一个正常着床的活胎妊娠。鉴于此，对她进行了定期随访，直至当前妊娠13 + 0周时，残留的异位妊娠不再可见。
