Interstitial ectopic pregnancy--management with laparoscopically-guided local methotrexate infiltration.
This case describes the use of ultrasound to diagnose an interstitial ectopic pregnancy and the subsequent management and ultrasound follow-up. Interstitial pregnancy is a rare but potentially life-threatening complication of pregnancy. Management options depend upon the timing of diagnosis, and the desire for maintenance of fertility. Methotrexate injection, under ultrasonographic or laparoscopic guidance, seems to be the management of choice when the ectopic is diagnosed at an early stage.
Wilkinson
C
C
Department of Perinatal Medicine, Women's and Children's Hospital, North Adelaide, South Australia.
Petrucco
O
O
Pachulicz
M
M
Furness
M
M
D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage / Q000627:therapeutic use*; D000328:Adult; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000008:administration & dosage / Q000627:therapeutic use*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000097:blood / Q000000981:diagnostic imaging / Q000628:therapy*; D011374:Progesterone / Q000097:blood; D012008:Recurrence; D016216:Ultrasonography, Prenatal
D000020:Abortifacient Agents, Nonsteroidal; D011374:Progesterone; D008727:Methotrexate