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Re: ?hetertopic pregnancy From: art fougner, md (evsono@pipeline.com) Mon Feb 26 19:27:18 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: ?hetertopic pregnancy" Previous message: Paul Prior MD: "Re: TeleVox" In reply to: Mark Perloe: "?hetertopic pregnancy" Next in thread: Paul Prior MD: "Re: ?hetertopic pregnancy" Mark - not personally - have only heard locally of a case managed with kcl and that one only with + FH. absence of demonstrable fetal heart would be most likely a contraindication to injection here. from what you describe, diagnosis of ectopic tenuous. suggest continued aggressive "ultrasound therapy." art At Mon, 26 Feb 2001, Mark Perloe wrote: > >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 > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Paul Prior MD: "Re: ?hetertopic pregnancy" Previous message: Paul Prior MD: "Re: TeleVox" In reply to: Mark Perloe: "?hetertopic pregnancy" Next in thread: Paul Prior MD: "Re: ?hetertopic pregnancy"

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