Document Detail

Hyperosmolar glucose injection for the treatment of heterotopic ovarian pregnancy.
MedLine Citation:
PMID:  22825262     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Heterotopic pregnancy describes the relatively rare coexistence of one or more intrauterine gestations and one or more extrauterine (ectopic) gestations. We describe a unique clinical case involving successful treatment of an ovarian heterotopic pregnancy through gestational sac aspiration and injection of hyperosmolar glucose.
CASE: A 31-year-old woman presented with an ovarian ectopic pregnancy and a viable intrauterine pregnancy after ovulation induction with oral medications. The ovarian gestational sac was aspirated and then injected transvaginally with a small volume of 50% glucose in water. The ectopic pregnancy resolved, and the intrauterine pregnancy was delivered at term without complication.
CONCLUSION: Gestational sac aspiration and injection of hyperosmolar glucose into an ovarian ectopic pregnancy was simple and efficacious without compromising a coexisting intrauterine pregnancy.
Jana L Allison; Mira Aubuchon; Jacqueline D Leasure; Danny J Schust
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  120     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-07-24     Completed Date:  2012-10-18     Revised Date:  2012-12-17    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  449-52     Citation Subset:  AIM; IM    
Division of Reproductive Endocrinology and Department of Obstetrics, Gynecology and Women's Health, University of Missouri School of Medicine, Columbia, Missouri 65201, USA.
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MeSH Terms
Gestational Sac / drug effects*,  surgery
Glucose / administration & dosage*
Ovulation Induction
Pregnancy, Ectopic / drug therapy*,  ultrasonography
Pregnancy, Multiple
Reg. No./Substance:
Comment In:
Obstet Gynecol. 2012 Nov;120(5):1212; author reply 1212-3   [PMID:  23090553 ]

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