title: Successful operative management of an intact second trimester abdominal pregnancy with additional preoperative selective catheter embolization and postoperative methotrexate therapy.
abstract: BACKGROUND
  Abdominal pregnancy is a rare condition that may lead to severe complications.
  
  
  METHODS
  The authors report the case of a 17-week intact abdominal pregnancy diagnosed in the course of an investigation of lower abdominal pain. Ultrasonography and MR examination revealed an intact abdominal pregnancy. Subsequent angiography was performed to occlude the supportive artery of the pregnancy by selective embolization. The pregnancy was terminated safely by laparotomy a day later. The placenta was left in the abdominal cavity because of the high risk of massive and often uncontrollable bleeding, and treatment with methotrexate was applied postoperatively.
  
  
  CONCLUSIONS
  Preoperative embolization and the postoperative methotrexate therapy facilitate the safe surgical treatment of abdominal pregnancy.
authors.affiliation: 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary.
authors.forename: Csaba
authors.initials: C
authors.lastname: Demendi
authors.forename: Zoltan
authors.initials: Z
authors.lastname: Langmár
authors.forename: Ferenc
authors.initials: F
authors.lastname: Bánhidy
authors.forename: Balázs
authors.initials: B
authors.lastname: Börzsönyi
authors.forename: Éva
authors.initials: É
authors.lastname: Csatlós
authors.forename: József Gábor
authors.initials: JG
authors.lastname: Joó
mesh_terms: D000328:Adult; D000792:Angiography; D057785:Catheters; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use*; D011247:Pregnancy; D011262:Pregnancy Trimester, Second / Q000502:physiology*; D011269:Pregnancy, Abdominal / Q000188:drug therapy* / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D008727:Methotrexate