%0 Journal Article
%T Undisturbed tubal pregnancies with positive fetal heart treated medically: Case study.
%A Obaid M
%A Abu-Faza M
%A Abdelazim IA
%A Al-Khatlan HS
%A Al-Tuhoo AM
%J J Mother Child
%V 26
%N 1
%D Mar 2022 1
%M 36803944
暂无%R 10.34763/jmotherandchild.20222601.d-22-00037
%X The incidence of ectopic pregnancy (EP) is 1.3-2.4%. Suspicion of EP starts after a positive serum pregnancy test and failure to visualize the intrauterine gestational sac (GS) by transvaginal sonography (TVS). About 88% of tubal EPs are diagnosed by absent intrauterine GS and the presence of an adnexal mass during TVS. Medical treatment of EP using methotrexate (MTX) is cost-effective with a similar success rate to surgical treatment. The presence of fetal heart beats, β-human chorionic gonadotropin >5000 mIU/mL, and EP size >4 cm are relative contraindications for using MTX in the treatment of EP.