Cervical Ectopic Pregnancy: A Management Dilemma.

A 28-year-old G3P1+1 at 6 weeks period of amenorrhea with a previous Caesarean section presented with per vaginal bleeding. A cervical ectopic pregnancy was confirmed by a transvaginal scan. An intramuscular methotrexate was given followed by intracervical route due to poor decline of the serum βHCG...

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Main Authors:	Shafiee MN, Norliza I, Lim PS, Shuhaila A, Mohd Hashim O
Format:	Article
Language:	English
Published:	Department of Surgery, UKM Medical Centre 2012
Online Access:	http://journalarticle.ukm.my/5185/ http://journalarticle.ukm.my/5185/ http://journalarticle.ukm.my/5185/1/09-MS1050%2830-33%29.pdf

id	ukm-5185
recordtype	eprints
spelling	ukm-51852016-12-14T06:37:49Z http://journalarticle.ukm.my/5185/ Cervical Ectopic Pregnancy: A Management Dilemma. Shafiee MN, Norliza I, Lim PS, Shuhaila A, Mohd Hashim O, A 28-year-old G3P1+1 at 6 weeks period of amenorrhea with a previous Caesarean section presented with per vaginal bleeding. A cervical ectopic pregnancy was confirmed by a transvaginal scan. An intramuscular methotrexate was given followed by intracervical route due to poor decline of the serum βHCG. However, due to persistent increment of serum βHCG, an additional four doses of intramuscular methotrexate with folinic acid rescue were administered and she responded well to the regime. Unfortunately, following the last dose, she developed an episode of excessive per vaginal bleeding which required suction and curettage of the cervical canal. A Foley‘s catheter balloon was placed intracervically as a tamponade and the bleeding was successfully arrested. Department of Surgery, UKM Medical Centre 2012 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/5185/1/09-MS1050%2830-33%29.pdf Shafiee MN, and Norliza I, and Lim PS, and Shuhaila A, and Mohd Hashim O, (2012) Cervical Ectopic Pregnancy: A Management Dilemma. Journal of Surgical Academia, 2 (1). pp. 30-33. ISSN 2231-7481 http://jsurgacad.com/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	A 28-year-old G3P1+1 at 6 weeks period of amenorrhea with a previous Caesarean section presented with per vaginal bleeding. A cervical ectopic pregnancy was confirmed by a transvaginal scan. An intramuscular methotrexate was given followed by intracervical route due to poor decline of the serum βHCG. However, due to persistent increment of serum βHCG, an additional four doses of intramuscular methotrexate with folinic acid rescue were administered and she responded well to the regime. Unfortunately, following the last dose, she developed an episode of excessive per vaginal bleeding which required suction and curettage of the cervical canal. A Foley‘s catheter balloon was placed intracervically as a tamponade and the bleeding was successfully arrested.
format	Article
author	Shafiee MN, Norliza I, Lim PS, Shuhaila A, Mohd Hashim O,
spellingShingle	Shafiee MN, Norliza I, Lim PS, Shuhaila A, Mohd Hashim O, Cervical Ectopic Pregnancy: A Management Dilemma.
author_facet	Shafiee MN, Norliza I, Lim PS, Shuhaila A, Mohd Hashim O,
author_sort	Shafiee MN,
title	Cervical Ectopic Pregnancy: A Management Dilemma.
title_short	Cervical Ectopic Pregnancy: A Management Dilemma.
title_full	Cervical Ectopic Pregnancy: A Management Dilemma.
title_fullStr	Cervical Ectopic Pregnancy: A Management Dilemma.
title_full_unstemmed	Cervical Ectopic Pregnancy: A Management Dilemma.
title_sort	cervical ectopic pregnancy: a management dilemma.
publisher	Department of Surgery, UKM Medical Centre
publishDate	2012
url	http://journalarticle.ukm.my/5185/ http://journalarticle.ukm.my/5185/ http://journalarticle.ukm.my/5185/1/09-MS1050%2830-33%29.pdf
first_indexed	2023-09-18T19:43:34Z
last_indexed	2023-09-18T19:43:34Z
_version_	1777405751335059456

Cervical Ectopic Pregnancy: A Management Dilemma.

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