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?hetertopic pregnancyFrom: Mark Perloe (mperloe@ivf.com)Mon Feb 26 17:17:58 2001
KA is a 32 yo G3 ectopic 2 female s/p right salpingectomy. She conceived after ovulation induction and IUI (3 mature follicles with E2 384pg/ml peak). An intrauterine gestational sac with fetal pole and FHT is seen. She complains of left adnexal pain. The left ovary is enlarged suggesting mild hyperstimulation. A small 1cm saclike structure on the edge of the ovary. Over the past week it has not changed in size. It appears to be attached (moves with) the ovary. She is now 6W4D. I have managed her conservatively with nervous observation. Without more convincing evidence, I have avoided laparoscopy. We have also considered direct injection, but I am uncertain what to inject. Without a fetus in this small structure, KCL would seem inappropriate. Hypertonic glucose may be a consideration. As things have been stable for about a week, I plan to hold tight. But, I wonder if anyone has managed hetertopic pregnancy with injection rather than surgery?
-- Mark Perloe, M.D. http://grs.ivf.com 404-843-2229 5445 Meridian Mark Rd, Suite 270, Atlanta, GA 30342
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