Document Detail


Minimally invasive management of an advanced abdominal pregnancy.
MedLine Citation:
PMID:  15121609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Advanced abdominal pregnancy is a rare, life-threatening condition that presents a number of challenges. CASE: A 29-year-old primigravida with 10 years of secondary infertility and a previous tuboplasty had a 21-week abdominal pregnancy treated with preoperative arterial embolization before laparoscopically assisted fetal delivery. Postoperatively, 4 cycles of methotrexate were administered at 50 mg/m2 intramuscularly every 3 weeks for the retained abdominal placenta. Subsequent spontaneous conception occurred, and a live, full-term infant was delivered by cesarean delivery 17 months later. No adverse sequelae were found during long-term follow-up. CONCLUSION: This report demonstrates successful minimally invasive management of an advanced abdominal pregnancy with a multimodal approach that included preoperative arterial embolization, laparoscopically assisted delivery, and judicious use of postoperative methotrexate.
Authors:
Jamal Rahaman; Richard Berkowitz; Harold Mitty; Sreedhar Gaddipati; Barry Brown; Farr Nezhat
Related Documents :
2235789 - Abdominal trauma in pregnancy. when is fetal monitoring necessary?
17331509 - Peri-implantation pelvic inflammatory disease with normal pregnancy outcome.
12206939 - Does a pelvic belt influence sacroiliac joint laxity?
1469929 - Colonic cancer during pregnancy: case report and review of the literature.
7281239 - Abdominal dosimetry for supradiaphragmatic irradiation of hodgkin's disease in pregnanc...
15866079 - A historical perspective on pregnancy-related low back and/or pelvic girdle pain.
6965229 - Reaction of the leukocytes of melanoma patients and control donors, including pregnant ...
11795689 - Serum creatine kinase is not a reliable indicator of ectopic pregnancy.
10739529 - Fetal exposure to an intra-amniotic inflammation and the development of cerebral palsy ...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  103     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-05-03     Completed Date:  2004-06-04     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1064-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics, Gynecology, and Reproductive Sciences, Mount Sinai Medical Center, New York, New York 10029, USA. jamal.rahaman@mssm.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section
Combined Modality Therapy
Delivery, Obstetric / methods
Embolization, Therapeutic
Female
Humans
Injections, Intramuscular
Laparoscopy
Magnetic Resonance Imaging
Methotrexate / administration & dosage
Placenta, Retained / therapy
Postoperative Care
Pregnancy
Pregnancy, Abdominal / diagnosis,  therapy*
Chemical
Reg. No./Substance:
59-05-2/Methotrexate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Stage IV large B cell lymphoma presenting as gigantomastia and pulmonary hypertension.
Next Document:  Successful one-stage radical removal of intravenous leiomyomatosis extending to the right ventricle.