Recurrent Ipsilateral Cornual Pregnancy with High bHCG Level Successfully Treated with Single Dose of Methotrexate Injection: A Case ReportCheng Ka Ning Katherine, Lee Man Hin Menelik* and On Kou Kam
Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong
- *Corresponding Author:
- Lee Man Hin Menelik
Department of Obstetrics and Gynaecology
Queen Elizabeth Hospital, 30 Gascoigne Road
Kowloon, Hong Kong
E-mail: [email protected]
Received Date: May 07, 2014; Accepted Date: June 10, 2014; Published Date: June 20, 2014
Citation: Katherine CN, Menelik L, On KK (2014) Recurrent Ipsilateral Cornual Pregnancy with High bHCG Level Successfully Treated with Single Dose of Methotrexate Injection: A Case Report. Gynecol Obstet (Sunnyvale) 4:227 doi: 10.4172/2161-0932.1000227
Copyright: © 2014 Katherine et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Cornual pregnancy is a type of ectopic pregnancy with the highest incidence of mortality. The incidence of recurrent cornual pregnancy is not known. We report a rare case of recurrent ipsilateral cornual ectopic pregnancy with bHCG level >7000 IU/L, which was managed successfully using a single dose of systemic methotrexate injection.
A 33 year old lady had recurrent ipsilateral cornual pregnancy after previous salpingectomy and cornual resection. The size of cornual pregnancy was small and unruptured. The initial bHCG level was 7299 IU/L. She was given medical treatment by a single-dose intramuscular methotrexate injection and the cornual pregnancy was resolved after 5 weeks.
In conclusion, systemic administration of methotrexate can be considered in unruptured cornual pregnancy in a haemodynamically stable patient even with high level of initial bHCG level of over 7000.