Document Detail


Successful management of viable cervical pregnancy by local injection of methotrexate guided by transvaginal ultrasonography.
MedLine Citation:
PMID:  8141192     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We evaluated the feasibility of transvaginal methotrexate injection of viable cervical pregnancies to avoid complications of the "classic" surgical procedures in use and to preserve future fertility. Five viable cervical pregnancies, at 6 to 8 weeks, were treated. In three patients a spring-loaded automated puncture device and in two a manually operated simple needle guide mated to and guided by a transvaginal ultrasonography probe were used with 21-gauge needles. The puncture and injection treatment was successful and without complications in all five cases presented. This procedure may become a useful alternative to other, more radical or complex surgical approaches.
Authors:
I E Timor-Tritsch; A Monteagudo; E O Mandeville; D B Peisner; G P Anaya; E C Pirrone
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  170     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1994 Mar 
Date Detail:
Created Date:  1994-04-28     Completed Date:  1994-04-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  737-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Sloane Hospital for Women, Columbia Presbyterian Medical Center, New York, NY 10032.
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MeSH Terms
Descriptor/Qualifier:
Cervix Uteri / ultrasonography*
Female
Humans
Methotrexate / administration & dosage*,  therapeutic use
Pregnancy
Pregnancy, Ectopic / drug therapy*,  ultrasonography
Punctures
Vagina
Chemical
Reg. No./Substance:
59-05-2/Methotrexate

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