Document Detail


Cornual heterotopic pregnancy: contemporary management options.
MedLine Citation:
PMID:  10819869     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This review covers the clinical presentations, treatments, and outcomes of cornual heterotopic pregnancies reported in the literature. Infertile women with a history of ectopic pregnancy, tubal surgery, or disease are at increased risk for cornual heterotopic pregnancy when they undergo in vitro fertilization. Women who have undergone bilateral salpingectomy also seem to be predisposed to this condition when they undergo in vitro fertilization. We recommend that these patients be followed up closely after a successful in vitro fertilization cycle with monitoring of serum beta-human chorionic gonadotropin levels and serial transvaginal ultrasonography because of the high associated morbidity. Laparotomy remains the treatment of choice for rupture of a cornual heterotopic pregnancy. In the absence of cornual rupture, however, medical management is an option that eliminates the risk of surgery and anesthesia and results in outcomes similar to those associated with surgical treatment. Currently there is insufficient evidence to recommend any single treatment modality, and the decision should be based on such factors as clinical presentation, surgeon's expertise, side effects, overall cost, and the patient's preference.
Authors:
A Habana; A Dokras; J L Giraldo; E E Jones
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  182     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-06-15     Completed Date:  2000-06-15     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1264-70     Citation Subset:  AIM; IM    
Affiliation:
Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, CT 06520-8063, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Fallopian Tubes / surgery
Female
Fertilization in Vitro
Humans
MEDLINE
Pregnancy
Pregnancy, Ectopic / drug therapy,  surgery,  therapy*
Risk Factors
Rupture, Spontaneous
Comments/Corrections
Comment In:
Am J Obstet Gynecol. 2001 Aug;185(2):522   [PMID:  11518920 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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