Work

Management of a High-Beta-Human Chorionic Gonadotropin (β-HCG) Ectopic Pregnancy With Methotrexate: A Case Report

Year: 2024

Type: article

Abstract: Ectopic pregnancy is a severe complication of early pregnancy that can lead to significant morbidity and mortality. Methotrexate is a standard non-surgical treatment for ectopic pregnancy, especially in cases where beta-human chorionic gonadotropin (β-HCG) levels are low. However, its effectiveness decreases as β-HCG levels rise. We present a case of a 38-year-old nulliparous woman with a high-β-HCG level ectopic pregnancy, who was managed successfully with methotrexate despite initial concerns about potential treatment failure. This case underscores the importance of patient-centered care, thorough counseling, and a multidisciplinary approach in managing complex ectopic pregnancies, particularly when standard guidelines may not fully apply. The patient was closely monitored and achieved a successful outcome without the need for surgery.

Source: Cureus

DOI: 10.7759/cureus.75783

Authors: Athanasios Petroulakis, Bing Bing Tiong

Institution: Nottingham University Hospitals NHS Trust

Language: English

Topic: Ectopic Pregnancy Diagnosis and Management

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4405418574