title: Use of Tuohy needle for intraamniotic methotrexate injection through the cervical canal in a cervical pregnancy after failure of systemic methotrexate treatment.
abstract: A case of cervical pregnancy resistant to systemic methotrexate (MTX) administration is presented. A 41 year old patient with cervical pregnancy at 6 weeks 4 days' gestation was successfully treated by intraamniotic MTX injection through the cervical canal using Tuohy needle after failure of systemic MTX treatment.
authors.affiliation: Center for Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Good Moonhwa Hospital, Busan, Korea. moonhwas@moonhwa.or.kr
authors.forename: Hwa Sook
authors.initials: HS
authors.lastname: Moon
authors.forename: Jung Hwan
authors.initials: JH
authors.lastname: Hyun
authors.forename: Kyung Seo
authors.initials: KS
authors.lastname: Kim
authors.forename: Hyun Jung
authors.initials: HJ
authors.lastname: Kim
authors.forename: Sung Eun
authors.initials: SE
authors.lastname: Moon
authors.forename: Ja Seong
authors.initials: JS
authors.lastname: Koo
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D000328:Adult; D002584:Cervix Uteri; D005260:Female; D006801:Humans; D007267:Injections; D008727:Methotrexate / Q000008:administration & dosage*; D009339:Needles; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000188:drug therapy*; D017211:Treatment Failure; D014592:Uterine Hemorrhage / Q000517:prevention & control
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate