Article ID Journal Published Year Pages File Type
3939348 Fertility and Sterility 2011 5 Pages PDF
Abstract

ObjectiveTo present 13 cases of unruptured tubal ectopic pregnancies successfully treated with ultrasound-guided aspiration and local and systemic methotrexate (MTX) administration.DesignCase series.SettingUniversity hospital.Patient(s)Thirteen women with an unruptured tubal ectopic pregnancy.Intervention(s)Transvaginal ultrasound-guided aspiration of the tubal ectopic pregnancy followed by MTX administration into the gestational sac (half of the calculated total dose of 25 mg/m2) and intramuscular injection (the remaining half of the calculated total dose of 25 mg/m2).Main Outcome Measure(s)Recovery of the patients, successful conservative treatment of the tubal ectopic pregnancies with preservation of the fallopian tubes.Result(s)Twelve (92%) of 13 women were successfully aborted, without need for salpingectomy or salpingostomy.Conclusion(s)Transvaginal ultrasound-guided aspiration of fetus followed by local and systemic methotrexate administration can be safely used to treat unruptured tubal ectopic pregnancies.

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Health Sciences Medicine and Dentistry Obstetrics, Gynecology and Women's Health
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