title: Rupture of ectopic pregnancy implanted in the bladder.
abstract: A 34-year-old woman was diagnosed by ultrasound with a six-week ectopic pregnancy with implantation of the gestational sac in the bladder wall. She was initially treated with methotrexate 50 mg/m(2) i.m. Although a 22% reduction in the levels of beta-hCG was observed at first, there was a rupture of gestational sac. The patient underwent an emergency laparotomy with a resulting partial cystectomy, and made an uneventful recovery.
authors.affiliation: Division of Urology, University of Santo Amaro, São Paulo, Brazil. jctruzzi@hotmail.com
authors.forename: Jose Carlos
authors.initials: JC
authors.lastname: Truzzi
authors.forename: Hudson
authors.initials: H
authors.lastname: Lima
authors.forename: Eduardo Capatti
authors.initials: EC
authors.lastname: Nunes
authors.forename: Marcus
authors.initials: M
authors.lastname: Sadi
mesh_terms: D000328:Adult; D015653:Cystectomy; D003558:Cystoscopy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000601:surgery; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D001743:Urinary Bladder