Background Coronavirus Disease 2019 (COVID-19) represents a complex therapeutic challenge. As the pandemic progresses, patients are presenting with ectopic pregnancies (EPs) and symptomatic COVID-19. Objective We present the management of a patient with multiple medical comorbidities and tubal EP in the setting of severe symptomatic COVID-19 infection where all management options were precluded. Methods Case report with literature review of management of tubal EP in the setting of severe symptomatic COVID-19 infection. Result After careful consideration of options, the patient underwent successful medical management with methotrexate while receiving supportive care for COVID-19. Conclusions Methotrexate proved to be the safest therapeutic option in this patient. Management of patients with severe COVID-19 and gynaecologic emergencies should be individualised and carefully reviewed with evolving knowledge of COVID-19.
【저자키워드】 coronavirus, methotrexate, Ectopic pregnancy, 【초록키워드】 COVID-19, severe COVID-19, knowledge, Comorbidity, Pregnancy, COVID-19 infection, symptomatic, management, therapeutic, Patient, supportive care, therapeutic option, literature review, complex, objective, Result, the patient, receiving, presenting, ectopic, pandemic progresses, precluded, 【제목키워드】 Coronavirus disease 2019, Case report, Pregnancy, symptomatic, ectopic,