title: [Tubal rupture after prostaglandin instillation despite decreasing beta-HCG values].
abstract: Over the past years laparoscopic surgery has become widely accepted in the treatment of tubal pregnancy and instillation of prostaglandin is well established. However, the failure rate is around 20%. This report describes a case of tubal pregnancy treated according to this procedure where the therapy initially seemed to be successful. Instillation of prostaglandin F2 alpha was followed by decreasing beta-HCG values, which continued to decrease after discharge. Thus, rupture of the operated tube on day 17 after surgery was completely unexpected.
authors.affiliation: Landesfrauenklinik Linz.
authors.forename: G
authors.initials: G
authors.lastname: Tews
authors.forename: W
authors.initials: W
authors.lastname: Arzt
authors.forename: G
authors.initials: G
authors.lastname: Tulzer
mesh_terms: D000328:Adult; D006063:Chorionic Gonadotropin / Q000097:blood*; D018997:Chorionic Gonadotropin, beta Subunit, Human; D015237:Dinoprost / Q000008:administration & dosage / Q000009:adverse effects*; D015232:Dinoprostone / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives*; D005184:Fallopian Tube Diseases / Q000097:blood*; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D007273:Injections, Intramuscular; D010535:Laparoscopy; D010446:Peptide Fragments / Q000097:blood*; D011183:Postoperative Complications / Q000097:blood*; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000601:surgery*; D012422:Rupture, Spontaneous
chemical_list: D006063:Chorionic Gonadotropin; D018997:Chorionic Gonadotropin, beta Subunit, Human; D010446:Peptide Fragments; C016767:sulprostone; D015237:Dinoprost; D015232:Dinoprostone