| Autor: |
Anderson, Paynesha M., Opfer, Erin K., Busch, Jeanne M., Magann, Everett F. |
| Jazyk: |
angličtina |
| Rok vydání: |
2009 |
| Předmět: |
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| Zdroj: |
Obstetrics and Gynecology International. |
| ISSN: |
1687-9589 |
| DOI: |
10.1155/2009/247452 |
| Popis: |
Background. The upper anterior abdominal wall is a very unusual location for an ectopic pregnancy making optimal management uncertain. Case. We report the case of a 26-year-old gravida 4, para 1, aborta 2 with a rising quantitative human chorionic gonadotropin level following a negative diagnostic laparoscopic examination. She was subsequently diagnosed with an abdominal wall ectopic pregnancy 2 cm inferior to the liver. A single percutaneous intralesional injection of methotrexate was successful after initial failure with systemic methotrexate. Conclusion. Systemic methotrexate is a logical first choice for management of a stable early abdominal wall pregnancy. Direct intralesional injection of methotrexate as the next treatment choice may avoid the morbidity linked with operative management. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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