title: Nonsurgical management of primary ovarian pregnancy with transvaginal ultrasound-guided local administration of methotrexate.
abstract: Primary ovarian pregnancy is a rare form of ectopic gestation and one that is often diagnosed only at the time of surgery. We report the first case to our knowledge of a live primary ovarian pregnancy diagnosed by transvaginal ultrasonography and successfully treated with transvaginal-guided aspiration and injection of methotrexate. Primary ovarian pregnancy can be diagnosed early in gestation with transvaginal sonography, affording the opportunity to successfully be managed with local administration of methotrexate.
authors: Department of Obstetrics and Gynecology, Women and Infants Hospital, Providence, Rhode Island 02905, USA. kpagidas@wihri.org
authors: Kelly
authors: K
authors: Pagidas
authors: Gary N
authors: GN
authors: Frishman
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage* / Q000627:therapeutic use; D000328:Adult; D005260:Female; D059247:Fertility Preservation; D006801:Humans; D008727:Methotrexate / Q000008:administration & dosage* / Q000627:therapeutic use; D010053:Ovary; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000188:drug therapy*; D018084:Ultrasonography, Interventional
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate