Document Detail


Failed medical management in ovarian pregnancy despite favorable prognostic factors--a case report.
MedLine Citation:
PMID:  16926774     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Primary ovarian pregnancy is a rare form of ectopic pregnancy that must be demonstrated with use of 4 Spiegelberg criteria. It is usually diagnosed at laparotomy or laparoscopy, although it may resemble a hemorrhagic corpus luteum. Successful conservative management of ovarian pregnancy with methotrexate has been reported only occasionally. This may be partly because of the rarity of this condition and partly because when medical treatment is successful, the patient does not need to undergo laparotomy or laparoscopy, and an occasional ovarian pregnancy may have been diagnosed as a tubal pregnancy. We present a case of ovarian pregnancy (diagnosed at laparotomy) for which initial medical management with methotrexate failed despite favorable prognostic factors. Whether the unusual location (ovary) could have contributed toward treatment failure is unknown.
Authors:
Rashmi Bagga; Vanita Suri; Preeti Verma; Seema Chopra; Jasvinder Kalra
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-05-09
Journal Detail:
Title:  MedGenMed : Medscape general medicine     Volume:  8     ISSN:  1531-0132     ISO Abbreviation:  MedGenMed     Publication Date:  2006  
Date Detail:
Created Date:  2006-08-23     Completed Date:  2007-01-26     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  100894134     Medline TA:  MedGenMed     Country:  United States    
Other Details:
Languages:  eng     Pagination:  35     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India. rashmibagga@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Abortifacient Agents, Nonsteroidal / therapeutic use*
Adult
Female
Humans
Methotrexate / therapeutic use*
Pregnancy
Pregnancy, Ectopic / drug therapy*
Prognosis
Treatment Failure
Chemical
Reg. No./Substance:
0/Abortifacient Agents, Nonsteroidal; 59-05-2/Methotrexate
Comments/Corrections

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