Document Detail


Video laparoscopic intervention for an interstitial pregnancy after failure of clinical treatment.
MedLine Citation:
PMID:  22790554     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: Interstitial pregnancy is a rare form of ectopic pregnancy for which the best therapeutic course of action has yet to be determined. Surgical intervention entails a high risk of hemorrhage due to the great vascularization of the cornual region of the uterus. Case descriptions facilitate the analysis of results and aid clinicians in determining the most appropriate course of action in these situations.
CASE REPORT: In a patient with an ultrasound diagnosis of interstitial pregnancy, clinical treatment using methotrexate was chosen. However, after one week, there was a marked decline in the serum level of the β subunit of chorionic gonadotropin hormone, although an ultrasound examination revealed embryonic cardiac activity. A second dose of the chemotherapy was administered. Embryonic cardiac activity persisted 48 hours later. Video laparoscopy was performed to achieve right-side cornual resection, which resulted in satisfactory resolution of the case.
Authors:
Nilson Abrão Szylit; Sérgio Podgaec; Evelyn Traina; Rita de Cassia Sanches Oliveira
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  São Paulo medical journal = Revista paulista de medicina     Volume:  130     ISSN:  1806-9460     ISO Abbreviation:  Sao Paulo Med J     Publication Date:  2012  
Date Detail:
Created Date:  2012-07-13     Completed Date:  2013-05-09     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  100897261     Medline TA:  Sao Paulo Med J     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  202-7     Citation Subset:  IM    
Affiliation:
Birth Control Outpatient Clinic, Instituto Israelita de Responsabilidade Social Albert Einstein, São Paulo, Brazil. szylit@apm.org.br
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MeSH Terms
Descriptor/Qualifier:
Abortifacient Agents, Nonsteroidal / therapeutic use
Adult
Female
Humans
Laparoscopy / methods*
Methotrexate / therapeutic use
Pregnancy
Pregnancy, Ectopic / surgery*
Treatment Failure
Video-Assisted Surgery / methods*
Chemical
Reg. No./Substance:
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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