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Human Reproduction, Vol. 15, No. 7, 1646-1647, July 2000
© 2000 European Society of Human Reproduction and Embryology

Case report: Serial serum HCG measurements in a patient with an ectopic pregnancy: a case for caution

Laurie Montgomery Irvine1 and Malcolm L. Padwick

Consultant Gynaecologists, Department of Obstetrics and Gynaecology, Watford General Hospital, Vicarage Road, Watford, Herts WD1 8HB, UK

Improvements in the use of ultrasound in early pregnancy have resulted in improved diagnosis of miscarriage and ectopic pregnancy. There are still, however, a significant number of women with a suspected abnormal pregnancy, where transvaginal ultrasound is unable to locate the pregnancy. The concern is the possibility of ectopic pregnancy. An alternative diagnostic tool is required and it has been suggested that it is possible to monitor serum ß human chorionic gonadotrophin. The present case highlights the potential dangers of this management.

Key words: ectopic pregnancy/serial serum ß HCG measurements/tubal rupture

1 To whom correspondence should be addressed


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L. M. Irvine
Ruptured ectopic pregnancy after a decline in chorionic gonadotropin
J R Soc Med, February 1, 2006; 99(2): 90 - 90.
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