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Re: A bright spot in the dayFrom: DoctorJoe@aol.comTue Jun 19 13:32:00 2007
In a message dated 6/19/2007 1:25:01 P.M. Central Daylight Time, ATKINSONS@ecu.edu writes: As an aside. Two variations on the missing ectopic. One resident broke your rule one and gave the MTX. IUP showed up later. Infant happily ok. A pt of mine, somewhat identical, we took to the OR. Tubes normal. D&C only decidua. At the second laparoscopy, after a fetal heart beat seen on US, I found an ovarian pregnancy fulfilling all of Spiegleberg’s criteria! And I delivered a patient once after she came to me because she was D&C'd and 'scoped by local docs who thought it was an ectopic and found only decidua (luckily) on D&C and normal tubes and ovaries. Joe P. P.S. It wasn't that mysterious. They couldn't correlate beta-hCG levels versus U/S findings, etc. I presume they're better edu-ma-cated now. ..
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