Interstitial Pregnancy -Conservative Management by Systemic Methotrexate

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Conservative management of interstitial pregnancy.

A 27-year-old second gravid was admitted with history of amenorrhea of 8 weeks’ duration with lower abdominal pain and spotting per-vaginum of 2 days’ duration. Her vitals were stable, and abdominal examination revealed a soft bulky 6 weeks’ size uterus. Cervical motion tenderness was absent. In view of a positive urine pregnancy test, an urgent transvaginal ultrasound was performed, which reve...

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Interstitial Ectopic Pregnancy: Conservative Surgical Management

INTRODUCTION Interstitial pregnancy is a rare and life-threatening condition. Diagnosis and appropriate management are critical in preventing morbidity and death. CASE DESCRIPTION Four cases of interstitial pregnancy are presented. Diagnostic laparoscopy followed by laparotomy and cornuostomy with removal of products of conception was performed in 1 case. Laparoscopic cornuostomy and removal ...

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Interstitial pregnancy treated with a single-dose of systemic methotrexate: A successful management

Interstitial pregnancy is an ectopic pregnancy at high hemorrhagic risk. It often poses a diagnostic and therapeutic challenge to the clinician, with a significant risk of morbidity and mortality. It presents a difficult management problem with no absolute standard of care; the most appropriate treatment technique for these pregnancies remains controversial. We describe a case of unruptured int...

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Successful conservative management with methotrexate and mifepristone of cervical pregnancy

This study investigated possible effective treatments for cervical pregnancy, a rare form of ectopic pregnancy. The clinical records of 11 cases of ectopic pregnancy admitted to the Third Affiliated Hospital of Sun Yat-sen University from 1998 to 2010 were analyzed. All patients were treated with intermuscular injection of methotrexate (MTX, 50 mg), and oral mifepristone (25 mg, bid). All cases...

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Conservative Treatment with Methotrexate of Ectopic Pregnancy

Diagnosis of ectopic pregnancy is vital, as it could save the mother’s life before uterine rupture occur. Uterine rupture accounts 6% of pregnancy related deaths and the leading cause of first trimester maternal death [2]. Diagnosis can be done by holistic approach from patient’s history, physical examination and radiology and laboratory results. The most common complaint for patients to seek f...

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ژورنال

عنوان ژورنال: Obstetrics & Gynecology International Journal

سال: 2017

ISSN: 2377-4304

DOI: 10.15406/ogij.2017.06.00196