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