| Uterine artery embolization in a 10-week cervical pregnancy with coexisting fibroids. | |
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MedLine Citation:
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PMID: 11226446 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 36-year-old woman, gravid 3, para 1, abortus 1, was admitted to our department at 10 weeks and 4 days of gestation with the diagnosis of cervical pregnancy and multiple uterine fibroids. After admission she underwent angiographic embolization of bilateral uterine arteries followed by intraamniotic 70-mg methotrexate injection. Despite being given a second dose of methotrexate injection 1 week later, the gestational sac did not resolve spontaneously, thus vacuum evacuation and curettage of the cervical canal was required on the 15th day of embolization. The patient was discharged in good condition. She had no complaints by post-operative at month 11, except amenorrhea. Her uterine fibroids markedly decreased in size after the procedure. As a result, embolization of uterine arteries provided surgical evacuation of cervical pregnancy with minimal hemorrhage, and the patient's potential fertility was preserved, but a long-term amenorrhea was observed. |
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Authors:
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R Has; N C Balci; L Ibrahimoğlu; I Rozanes; S Topuz |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Volume: 72 ISSN: 0020-7292 ISO Abbreviation: Int J Gynaecol Obstet Publication Date: 2001 Mar |
Date Detail:
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Created Date: 2001-03-06 Completed Date: 2001-04-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0210174 Medline TA: Int J Gynaecol Obstet Country: Ireland |
Other Details:
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Languages: eng Pagination: 253-8 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Istanbul University, Istanbul, Turkey. recephas@superonline.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortifacient Agents, Nonsteroidal
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administration & dosage*,
therapeutic use Adult Amnion Embolization, Therapeutic* / methods Female Humans Leiomyoma / complications* Methotrexate / administration & dosage*, therapeutic use Pregnancy Pregnancy Trimester, First Pregnancy, Ectopic / complications*, therapy* Uterus / blood supply Vacuum Curettage* |
| Chemical | |
Reg. No./Substance:
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0/Abortifacient Agents, Nonsteroidal; 59-05-2/Methotrexate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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