Medical management of interstitial ectopic pregnancy: a case report and literature review
| Autor: | Usha Chitkara, Linda C. Giudice, B H Ortiz, Salli I. Tazuke, J D Fisch |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment MEDLINE Leucovorin Pregnancy Medicine Humans Chorionic Gonadotropin beta Subunit Human Intensive care medicine Ultrasonography Chemotherapy Ectopic pregnancy business.industry Rehabilitation Obstetrics and Gynecology medicine.disease Surgery Pregnancy Ectopic Methotrexate Reproductive Medicine Interstitial pregnancy Female Doppler ultrasound business Complication medicine.drug |
| Zdroj: | Human reproduction (Oxford, England). 13(7) |
| ISSN: | 0268-1161 |
| Popis: | Recent reports describe successful treatment of interstitial ectopic pregnancies using methotrexate. While the number of reported cases is increasing, no consensus exists regarding the management of this complication of pregnancy. We present the successful use of combined systemic and direct intrasac injection of methotrexate for an interstitial pregnancy with the highest yet reported initial beta-human chorionic gonadotrophin concentration (102,000 mIU/ml). We also describe the use of Doppler ultrasound for monitoring treatment progression. Through a review of the current literature, we propose to facilitate management decisions and increase outcome success by summarizing previously reported treatment regimens and by describing enhanced parameters for patient selection and monitoring. |
| Databáze: | OpenAIRE |
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