Document Detail

Ultrasound-guided intrauterine methotrexate injection of a failed gestation occurring post-endometrial ablation: a case report.
MedLine Citation:
PMID:  20175346     Owner:  NLM     Status:  In-Process    
BACKGROUND: Pregnancy following endometrial ablation carries significant risks, including spontaneous abortion, preterm delivery, and abnormal placental adherence. Surgical termination of pregnancy following endometrial ablation has an increased risk for failure and complications.
CASE: A 29-year-old woman became pregnant following an endometrial ablation. The pregnancy resulted in a missed abortion; due to prior endometrial ablation, dilatation and curettage was felt to have greater than normal risk. Under ultrasound guidance, methotrexate was injected directly into the gestational sac. The pregnancy resolved with no complications.
CONCLUSION: There are significant risks associated with pregnancies occurring post-endometrial ablation and with termination of these pregnancies. Ultrasound-guided local injection of methotrexate appears to be a safe and effective option when termination is required.
Arden Lee; Gordon Askew; Thomas Gleason
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  31     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2010-02-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  1060-3     Citation Subset:  IM    
Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, AB.
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