| Cervico-isthmic pregnancy successfully treated with bipolar resection following methotrexate administration: case report and literature review. | |
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MedLine Citation:
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PMID: 23177414 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Cervico-isthmic pregnancy is a rare form of ectopic pregnancy associated with a high morbidity and mortality rate. Recent advances in high-resolution ultrasound have made the diagnosis of early cervico-isthmic pregnancies easier. Early diagnosis allows a more conservative therapeutic approach that avoids hysterectomy and preserves fertility. Here is reported a case of viable cervico-isthmic pregnancy successfully treated with resectoscopy after failed systemic and local (hysteroscopic) methotrexate administration. The resectoscopic excision of the cervico-isthmic pregnancy was carried out with the technique of slicing, using a 27 bipolar resectoscope with a 4-mm loop. The procedure was successful with the complete removal of the ectopic pregnancy, while maintaining satisfactory haemostasis. A literature review shows that no consensus exists for the treatment of cervico-isthmic pregnancies. We report a case of viable cervico-isthmic pregnancy successfully treated with resectoscopy after failed systemic and local (hysteroscopical) methotrexate administration. The resectoscopic excision of cervico-isthmic pregnancy was carried out with the technique of slicing, using a 27 bipolar resectoscope with a 4-mm loop. The procedure was successful with the complete removal of the ectopic pregnancy, while maintaining satisfactory haemostasis. |
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Authors:
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Attilio Di Spiezio Sardo; Carlo Alviggi; Brunella Zizolfi; Marialuigia Spinelli; Pasquale De Rosa; Giuseppe De Placido; Carmine Nappi |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-10-12 |
Journal Detail:
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Title: Reproductive biomedicine online Volume: - ISSN: 1472-6491 ISO Abbreviation: Reprod. Biomed. Online Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-11-26 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101122473 Medline TA: Reprod Biomed Online Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynaecology and Pathophisiology of Reproduction, University of Naples 'Federico II', Italy. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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