Uterine artery embolization combined with methotrexate for broad ligament ectopic pregnancy in a 30-year old primigravida
Autor: | Samreen Aslam, Azza Sarfraz, Zouina Ameena, Zouina Sarfraz, Khurram Khaliq Bhinder, Shaista Riaz |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Infertility
medicine.medical_specialty Broad ligament Ectopic pregnancy medicine.medical_treatment Gestational sac R895-920 030218 nuclear medicine & medical imaging 03 medical and health sciences Medical physics. Medical radiology. Nuclear medicine 0302 clinical medicine Uterine artery embolization Case report medicine Radiology Nuclear Medicine and imaging Pakistan business.industry Myometrium medicine.disease Surgery Obstetrics medicine.anatomical_structure Gynecology Gestation Methotrexate business Radiology 030217 neurology & neurosurgery medicine.drug |
Zdroj: | Radiology Case Reports, Vol 16, Iss 8, Pp 2248-2251 (2021) Radiology Case Reports |
ISSN: | 1930-0433 |
Popis: | We present the case of 30-year old primigravida female at 11 weeks’ gestation who was diagnosed to have ectopic pregnancy on obstetric ultrasound. An MRI pelvis was ordered to assess invasion into the posterior myometrium which confirmed a single right-sided broad ligament-extra uterine pelvic ectopic pregnancy with extrinsic mass effect on the right lower uterine segment without frank myometrial invasion. On an urgent basis, a uterine artery embolization (UAE) was performed by targeting the right femoral artery. Selective catheterization was performed of both uterine arteries and the right side showed a major feeder of the gestational sac. Supplied dose of methotrexate (95mg) was infused in the right uterine artery and both arteries were then embolized by gel foam slurry. Thus, prompt treatment reduced the risk of infertility and saved the patient from obstetrical emergency. Further exploration needs to be done in this field to explore conservative management options to preserve fertility. |
Databáze: | OpenAIRE |
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