Document Detail


Retroperitoneal ectopic pregnancy: is there any place for non-surgical treatment with methotrexate?
MedLine Citation:
PMID:  20722990     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cases of retroperitoneal ectopic pregnancy are very rare. To date, few published and unpublished reports are available and no clear or specific management guidelines have been defined. Despite concern for the risk of surgical resection of the gestational tissue and associated hemorrhage when these lesions are in close proximity to the large retroperitoneal blood vessels, conservative treatment with methotrexate has so far failed to obviate the ultimate need for surgical management. A case of retroperitoneal ectopic pregnancy located very close to large retroperitoneal blood vessels and treated with methotrexate is presented. Two other varying cases of failed methotrexate treatment for similar diagnosis are discussed. The presented patient failed methotrexate treatment and eventually underwent surgical excision.
Authors:
Chukwudi O Okorie
Publication Detail:
Type:  Journal Article     Date:  2010-08-17
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  36     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-29     Completed Date:  2011-02-11     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  1133-6     Citation Subset:  IM    
Copyright Information:
© 2010 The Author. Journal of Obstetrics and Gynaecology Research © 2010 Japan Society of Obstetrics and Gynecology.
Affiliation:
Banso Baptist Hospital, Kumbo, North West Province, Cameroon. okorieco@mail.ru
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / methods*
Adult
Female
Humans
Methotrexate*
Pregnancy
Pregnancy, Ectopic / drug therapy*,  surgery,  ultrasonography
Retroperitoneal Space*
Chemical
Reg. No./Substance:
59-05-2/Methotrexate

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


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