title: Conservative management of nontubal ectopic pregnancies.
abstract: OBJECTIVE
  To report successful conservative management of nontubal ectopic pregnancies.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  University tertiary-care hospital.
  
  
  METHODS
  Sixty-four women with diagnosis of nontubal ectopic pregnancies (cervical, cornual, and cesarean section scar) were treated with minimally invasive procedures.
  
  
  METHODS
  Systemic methotrexate alone or combined with ultrasound-guided fetal intracardiac injection of potassium chloride.
  
  
  METHODS
  Success of the treatment, preservation of the uterus, rate of serious complications, and the need for additional interventions.
  
  
  RESULTS
  Conservative treatment was successful in 63 patients with nontubal ectopic pregnancies. One patient had rupture of cornual pregnancy and underwent cornual resection. None of the patients in this case series required hysterectomy. This series included four patients with heterotopic pregnancies, three of whom continued intrauterine pregnancy to term gestation after conservative treatment. Seven patients experienced minimal morbidity that was treated with additional nonsurgical interventions.
  
  
  CONCLUSIONS
  Conservative management and fertility preservation is feasible in most nontubal ectopic pregnancies.
authors.affiliation: Department of Obstetrics and Gynecology, University of Miami Miller School of Medicine, Miami, Florida 33101, USA. uverma@med.miami.edu
authors.forename: Usha
authors.initials: U
authors.lastname: Verma
authors.forename: Diana
authors.initials: D
authors.lastname: English
authors.forename: Kathleen
authors.initials: K
authors.lastname: Brookfield
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use; D000293:Adolescent; D000328:Adult; D005240:Feasibility Studies; D005260:Female; D059247:Fertility Preservation / Q000379:methods*; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use*; D059351:Organ Sparing Treatments / Q000379:methods*; D011189:Potassium Chloride / Q000008:administration & dosage; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000628:therapy*; D012189:Retrospective Studies; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D016216:Ultrasonography, Prenatal; D055815:Young Adult
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D011189:Potassium Chloride; D008727:Methotrexate