[Risks of expectant management of extrauterine pregnancies with low HCG titers and absent clinical symptoms].
We report on 4 cases of ectopic pregnancy with low HCG-levels and lack of clinical symptoms, in which expectant management was performed. Advantages and disadvantages of the procedure are discussed. While one can find a variety of therapeutical concepts in the literature such as conservative medical treatment alone or in combination with laparoscopy or expectant management, we dispose to prefer a fertilization providing gentle operative laparoscopic assessment as the treatment of choice in all cases of ectopic pregnancy. In all 4 cases operative laparoscopy had to be performed after an interval of expectance when the patients displayed sudden severe clinical symptoms.
Küpker
W
W
Klinik für Frauenheilkunde und Geburtshilfe, Medizinischen Universität Lübeck.
Bauer
O
O
Löning
M
M
Felberbaum
R
R
Diedrich
K
K
D000328:Adult; D006063:Chorionic Gonadotropin / Q000097:blood*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000175:diagnosis* / Q000601:surgery; D012422:Rupture, Spontaneous
D006063:Chorionic Gonadotropin
Risiken eines exspektativen Managements bei Extrauteringraviditäten mit niedrigen HCG-Titern und fehlender klinischer Symptomatik.