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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Department of Surgery, UKM Medical Centre
2012
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| Online Access: | http://journalarticle.ukm.my/5185/ http://journalarticle.ukm.my/5185/1/09-MS1050%2830-33%29.pdf |
| _version_ | 1848810758756892672 |
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| author | Shafiee MN, Norliza I, Lim PS, Shuhaila A, Mohd Hashim O, |
| author_facet | Shafiee MN, Norliza I, Lim PS, Shuhaila A, Mohd Hashim O, |
| author_sort | Shafiee MN, |
| building | UKM Institutional Repository |
| collection | Online Access |
| 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. |
| first_indexed | 2025-11-14T23:35:36Z |
| format | Article |
| id | oai:generic.eprints.org:5185 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T23:35:36Z |
| publishDate | 2012 |
| publisher | Department of Surgery, UKM Medical Centre |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org: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/ |
| spellingShingle | Shafiee MN, Norliza I, Lim PS, Shuhaila A, Mohd Hashim O, Cervical Ectopic Pregnancy: A Management Dilemma. |
| title | 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_short | Cervical Ectopic Pregnancy: A Management Dilemma. |
| title_sort | cervical ectopic pregnancy: a management dilemma. |
| url | http://journalarticle.ukm.my/5185/ http://journalarticle.ukm.my/5185/ http://journalarticle.ukm.my/5185/1/09-MS1050%2830-33%29.pdf |