Laparoscopic cornuotomy in the management of an advanced interstitial ectopic pregnancy: a case report.
作者： Murat Api , Olus Api
DOI: 10.1080/09513590903215524
关键词: Cornual Pregnancy 、 Gestational sac 、 Medicine 、 Ectopic pregnancy 、 Surgery 、 Fetal pole 、 Interstitial pregnancy 、 Yolk sac 、 Pregnancy 、 Uterine cavity
摘要: Objective. To report the successful treatment of an advanced interstitial ectopic pregnancy via laparoscopic cornuotomy following failure with methotrexate (MTX).Case. A 28-year-old, gravida 3, para 0 woman a history successfully treated tubal medical therapy 2 years ago, presented spotting bleeding and lower abdominal pain. Her initial beta-hCG level was 11706 mIU/ml transvaginal ultrasound examination showed empty uterine cavity gestational sac 8 × 10 × 9 mm in diameter having no fetal pole or yolk sac, located just adjacent to left cornual region. She introduced 50 mg systemic MTX presumed diagnosis pregnancy. Because serum raised 18654 mIU/ml cardiac activity emerged on fourth day after injection, laparoscopy planned. The preservation uteru...
sci-hub.st 参考文章(23)
Toshinobu Tanaka, Hiroshi Hayashi, Takeshi Kutsuzawa, Seiichiro Fujimoto, Kihyoe Ichinoe, Treatment of interstitial ectopic pregnancy with methotrexate: report of a successful case Fertility and Sterility. ,vol. 37, pp. 851- 852 ,(1982) , 10.1016/S0015-0282(16)46349-1
A. Monteagudo, V. K. Minior, C. Stephenson, S. Monda, I. E. Timor-Tritsch, Non‐surgical management of live ectopic pregnancy with ultrasound‐guided local injection: a case series Ultrasound in Obstetrics & Gynecology. ,vol. 25, pp. 282- 288 ,(2005) , 10.1002/UOG.1822
Selma Ng, Suttha Hamontri, Irene Chua, Bernard Chern, Anthony Siow, Laparoscopic management of 53 cases of cornual ectopic pregnancy Fertility and Sterility. ,vol. 92, pp. 448- 452 ,(2009) , 10.1016/J.FERTNSTERT.2008.08.072
Afaf Tawfiq, Abdul-Fattah Agameya, Paul Claman, Predictors of treatment failure for ectopic pregnancy treated with single-dose methotrexate Fertility and Sterility. ,vol. 74, pp. 877- 880 ,(2000) , 10.1016/S0015-0282(00)01547-8
Young-Sam Choi, Dae-Sook Eun, Jin Choi, Kwang-Sik Shin, Ji-Hye Choi, Hyoung-Duck Park, Laparoscopic cornuotomy using a temporary tourniquet suture and diluted vasopressin injection in interstitial pregnancy. Fertility and Sterility. ,vol. 91, pp. 1933- 1937 ,(2009) , 10.1016/J.FERTNSTERT.2008.02.013
Satoe Fujioka, Yoshiki Yamashita, Sachiko Kawabe, Hideki Kamegai, Yoshito Terai, Masahide Ohmichi, A case of a methotrexate-resistant ectopic pregnancy in which dactinomycin was effective as a second-line chemotherapy Fertility and Sterility. ,vol. 91, pp. 929.e13- 929.e15 ,(2009) , 10.1016/J.FERTNSTERT.2008.10.003
Gary H. Lipscomb, Marian L. McCord, Thomas G. Stovall, Genelle Huff, S. Greg Portera, Frank W. Ling, Predictors of success of methotrexate treatment in women with tubal ectopic pregnancies. The New England Journal of Medicine. ,vol. 341, pp. 1974- 1978 ,(1999) , 10.1056/NEJM199912233412604
R. MacRae, O. Olowu, M. I. Rizzuto, F. Odejinmi, Diagnosis and laparoscopic management of 11 consecutive cases of cornual ectopic pregnancy Archives of Gynecology and Obstetrics. ,vol. 280, pp. 59- 64 ,(2009) , 10.1007/S00404-008-0872-4
Togas Tulandi, Dania Al-Jaroudi, Interstitial pregnancy: results generated from the Society of Reproductive Surgeons Registry. Obstetrics & Gynecology. ,vol. 103, pp. 47- 50 ,(2004) , 10.1097/01.AOG.0000109218.24211.79
David L. Katz, John P. Barrett, Joseph S. Sanfilippo, David M. Badway, Combined hysteroscopy and laparoscopy in the treatment of interstitial pregnancy American Journal of Obstetrics and Gynecology. ,vol. 188, pp. 1113- 1114 ,(2003) , 10.1067/MOB.2003.258