| An early abdominal wall ectopic pregnancy successfully treated with ultrasound guided intralesional methotrexate: a case report. | |
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MedLine Citation:
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PMID: 19936121 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Paynesha M Anderson; Erin K Opfer; Jeanne M Busch; Everett F Magann |
Publication Detail:
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Type: Journal Article Date: 2009-08-09 |
Journal Detail:
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Title: Obstetrics and gynecology international Volume: 2009 ISSN: 1687-9597 ISO Abbreviation: Obstet Gynecol Int Publication Date: 2009 |
Date Detail:
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Created Date: 2009-11-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101517078 Medline TA: Obstet Gynecol Int Country: United States |
Other Details:
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Languages: eng Pagination: 247452 Citation Subset: - |
Affiliation:
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Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth, Portsmouth, VA 23708, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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