A ‘potentially safer’ route for puncture and injection of cornual ectopic pregnancies

摘要: Puncture and injection (usually by methotrexate) of ectopic pregnancies are relatively new modalities treatment. Lately, these have been applied to cornual pregnancies. We describe here a proposed transvaginal ultrasound-guided puncture route, leading the needle into pregnancy, first traversing myometrium approaching gestational sac from medial aspect. After extracting needle, there is potentially less chance for rupture bleeding. In six seven injected pregnancies, this technique was used without complication. The only one punctured lateral aspect bled required laparoscopic intervention. This may enable wider use treatment modality lowering complication rate caused bleeding at site. Copyright © 1996 International Society Ultrasound in Obstetrics Gynecology