| Heterotopic quadruplet pregnancy: conservative management with ultrasonographically-guided KCl injection of cornual pregnancy and laparoscopic operation of tubal pregnancy. | |
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MedLine Citation:
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PMID: 19752514 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To discuss a case of heterotopic cornual and tubal pregnancy managed with transvaginal potassium chloride (KCl) injection of cornual pregnancy and laparoscopic operation of tubal pregnancy. METHODS: The subject was a 30-year-old woman with twin pregnancy with a left cornual and a tubal pregnancy. The heterotopic cornual pregnancy was treated with ultrasonographically-guided transvaginal injection of KCl into the thorax of ectopic fetus, and the tubal pregnancy was treated with laparoscopic left salpingectomy. RESULTS: The woman was discharged on the 6th postoperative day. After complete ablation of the cornual and tubal pregnancy, the subject had no complications or side effects for the duration of her pregnancy up to the 37th week. Elective cesarean section was performed at 37 weeks and allowed the birth of 2 boys weighing 2,500 and 2,000 g and of normal development. CONCLUSIONS: A minimally invasive approach should be considered in a hemodynamically stable patient to treat a first-trimester heterotopic pregnancy to maintain the intrauterine pregnancy with a satisfactory outcome. |
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Authors:
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Hea-Ree Park; Myoung-Jin Moon; Eun-Hee Ahn; Min-Jung Baek; Dong Hee Choi |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-09-11 |
Journal Detail:
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Title: Fetal diagnosis and therapy Volume: 26 ISSN: 1421-9964 ISO Abbreviation: Fetal. Diagn. Ther. Publication Date: 2009 |
Date Detail:
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Created Date: 2009-12-23 Completed Date: 2010-03-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9107463 Medline TA: Fetal Diagn Ther Country: Switzerland |
Other Details:
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Languages: eng Pagination: 227-30 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Bundang CHA Women's Hospital, Sungnam, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Fallopian Tubes / surgery Female Humans Laparoscopy Potassium Chloride / therapeutic use* Pregnancy Pregnancy, Ectopic / pathology, therapy*, ultrasonography Pregnancy, Multiple Pregnancy, Tubal / pathology, surgery*, ultrasonography Quadruplets Ultrasonography, Prenatal |
| Chemical | |
Reg. No./Substance:
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7447-40-7/Potassium Chloride |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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