ABSTRACT
Objective: to evaluate the efficacy of a single dose of MTX for ectopic pregnancy management
Material and Methods: 37 patients were carefully selected according to inclusion criteria. beta-hCG was done at diagnosis and at day 7. A single IM dose of MTX was given and patients were kept admitted till recovery
Results: out of the 37 patients, 5 patients had ruptured ectopic pregnancy in spite of taking MTX. 26 had single dose and had a time of ectopic pregnancy resolution averaging 26.4 days. The remaining 6 patients received an additional dose of MTX with the time resolution of 35 days
Conclusion: the successful medical management of ectopic pregnancy was seen in 26 patients [81 %] in whom beta-hCG levels became negative after administration of single MTX
ABSTRACT
With increasing caesarean section rates during the past decades, a rising trend of placenta percreta is observed. Although rare, placenta percreta can present as acute abdomen due to haemoperitoneum during antepartum period. A 24 years old pregnant lady with two previous caesarean sections, presented in emergency at 12 weeks of gestation with syncope, acute abdominal pain and distension. Ultrasonography revealed an ectopic pregnancy in right adnexa with intraperitoneal haemorrhage. On laparotomy, there was moderate hemoperitoneum, both adnexa were normal and placental tissue was protruding through a bleeding previous caesarean scar. Hysterectomy was done. Histopathological report was consistent with the diagnosis of placenta percreta