Medical Management of Unruptured Ectopic Gestation with Successful Outcome at a Private Health Facility in Akure, South West Nigeria

Ectopic pregnancy is a public health issue and a life-threatening condition in Sub-Saharan Africa due to high risk of
sexually transmitted infections. While surgical option of management is often advocated for cases of ruptured
ectopic gestation, unruptured cases can be managed medically especially where fertility is of a major concern. The
case presented is that of a 30-year old GIP0+0 who presented at a private health facility with mild right sided lower
abdominal pain and spotting per vaginal of 2days duration at a gestational age of 7weeks and 2days, she was
haemodynamically stable. A pelvic Ultrasound done showed a right sided gestational sac with no cardiac activity
and an empty uterus. Serum β HCG done was 913mIU/ml. She was managed as a case of unruptured ectopic
gestation with intramuscular methotrexate injections and she had a complete resolution of the ectopic gestation as
evidenced by the disappearance of the symptoms and biochemical assessment of the level of serum β HCG which
dropped to zero.