Ectopic Pregnancy Following Levonorgesterol-Only Emergency Contraception: The First Malaysian Case Report
Ectopic Pregnancy Following LNG-EC
Abstract
Levonorgestrel (LNG) is a well-known safe and efficacious emergency contraception (EC). However, ectopic pregnancy following the failure of LNG-only EC has been reported. The exact incidence of ectopic pregnancy has been hindered by lack of data due to the fact that LNG-only EC is accessible at pharmacies without a prescription. We describe a case of ectopic pregnancy in an 18 year-old single woman who took LNG-only EC within 48 hours of unprotected sexual intercourse. She presented to the emergency department at 8 weeks period of amenorrhoea with an acute abdomen and hypovolaemic shock. Laparotomy confirmed a ruptured right tubal pregnancy and salpingectomy was performed. The patient was discharged well after 2 days. We aim to highlight this potential adverse effect and to discuss the plausible causality of ectopic pregnancy following administration of LNG-only EC.
Keywords :
ectopic pregnancy,
emergency contraception,
Levonogrestrel,
Abstrak
Levonorgestrel (LNG) sememangnya dikenali sebagai pil pencegahan kehamilan kecemasan (EC) yang selamat and berkesan. Namun begitu, kes kehamilan luar rahim akibat daripada kegagalan LNG EC pernah dilaporkan. Insiden kehamilan luar rahim yang tepat sukar ditentukan akibat kemudahan untuk mendapatkan LNG EC daripada farmasi tanpa preskripsi. Kami melaporkan satu kes kehamilan luar rahim seorang pesakit perempuan tidak berkahwin yang berumur 18 tahun. Beliau telah mengambil LNG EC dalam jangkamasa 48 jam selepas persetubuhan. Beliau dihantar ke jabatan kecemasan pada minggu kelapan tempoh hamil dengan abdomen akut dan renjatan hipovolemik. Pembedahan laparotomi mengesahkan kehamilan di luar rahim yang sudah pecah di bahagian tiub fallopio dan salpingektomi telah dilaksanakan. Pesakit tersebut dibenarkan pulang selepas dua hari. Kami ingin menekankan kesan sampingan dan membincangkan perkaitan kehamilan luar rahim selepas penggunaan LNG EC.
Kata Kunci :
kehamilan luar rahim,
Levonorgestrel,
pil pencegahan kehamilan kecemasan,
Correspondance Address
Dr. Natasha Ain Mohd Nor, Department of Obstetrics and Gynaecology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000, Kuala Lumpur. Tel: 603-91455949. Fax: 603- 91456672. Email: nat170975@yahoo.com
