an early abdominal wall ectopic pregnancy successfully treated with ultrasound guided intralesional methotrexate: a case report
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ID: 174149
2009
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Abstract
Background. The upper anterior abdominal wall is a very unusual location for an ectopic pregnancy making optimal management uncertain. Case. We report the case of a 26-year-old gravida 4, para 1, aborta 2 with a rising quantitative human chorionic gonadotropin level following a negative diagnostic laparoscopic examination. She was subsequently diagnosed with an abdominal wall ectopic pregnancy 2 cm inferior to the liver. A single percutaneous intralesional injection of methotrexate was successful after initial failure with systemic methotrexate. Conclusion. Systemic methotrexate is a logical first choice for management of a stable early abdominal wall pregnancy. Direct intralesional injection of methotrexate as the next treatment choice may avoid the morbidity linked with operative management.
| Reference Key |
anderson2009obstetricsan
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|---|---|
| Authors | ;Paynesha M. Anderson;Erin K. Opfer;Jeanne M. Busch;Everett F. Magann |
| Journal | vìsnik nacìonalʹnogo avìacìjnogo unìversitetu |
| Year | 2009 |
| DOI |
10.1155/2009/247452
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