{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T22:30:01Z","timestamp":1766788201736,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,12,16]]},"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>Expectant management of tubal ectopic pregnancies is a feasible and possibly preferable method of management in asymptomatic women with low serum \u03b2-human chorionic gonadotropin (hCG). This involves serial monitoring of \u03b2-hCG until negative, after which it is deemed as spontaneously resolved ectopic pregnancy. We describe a case of tubal ectopic pregnancy which was expectantly managed with an initial \u03b2-hCG of 585 mIU\/mL until undetectable. This patient presented with ruptured ectopic pregnancy 8 weeks after the original diagnosis, at the level of 5 mIU\/mL. This highlights the importance of close monitoring in the expectant management of tubal ectopic pregnancies, with the incorporation of imaging, even when serial \u03b2-hCG shows a persistently reducing trend.<\/jats:p>","DOI":"10.1136\/bcr-2019-230876","type":"journal-article","created":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T04:15:15Z","timestamp":1577679315000},"page":"e230876","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Unexpected rupture of an expectantly managed tubal ectopic pregnancy: a reminder for enhanced diligence"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8889-7550","authenticated-orcid":false,"given":"Amenda Ann","family":"Davis","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, Paras Hospitals, Gurgaon, Haryana, 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