title: [Risks of expectant management of extrauterine pregnancies with low HCG titers and absent clinical symptoms].
abstract: 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.
authors.affiliation: Klinik für Frauenheilkunde und Geburtshilfe, Medizinischen Universität Lübeck.
authors.forename: W
authors.initials: W
authors.lastname: Küpker
authors.forename: O
authors.initials: O
authors.lastname: Bauer
authors.forename: M
authors.initials: M
authors.lastname: Löning
authors.forename: R
authors.initials: R
authors.lastname: Felberbaum
authors.forename: K
authors.initials: K
authors.lastname: Diedrich
mesh_terms: 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
chemical_list: D006063:Chorionic Gonadotropin
vernacular_title: Risiken eines exspektativen Managements bei Extrauteringraviditäten mit niedrigen HCG-Titern und fehlender klinischer Symptomatik.