An alternative treatment option in tubal ectopic pregnancies with fetal heartbeat: aspiration of the embryo followed by single-dose methotrexate administration
ABSTRACT To present 13 cases of unruptured tubal ectopic pregnancies successfully treated with ultrasound-guided aspiration and local and systemic methotrexate (MTX) administration.
Thirteen women with an unruptured tubal ectopic pregnancy.
Transvaginal ultrasound-guided aspiration of the tubal ectopic pregnancy followed by MTX administration into the gestational sac (half of the calculated total dose of 25 mg/m(2)) and intramuscular injection (the remaining half of the calculated total dose of 25 mg/m(2)).
Recovery of the patients, successful conservative treatment of the tubal ectopic pregnancies with preservation of the fallopian tubes.
Twelve (92%) of 13 women were successfully aborted, without need for salpingectomy or salpingostomy.
Transvaginal ultrasound-guided aspiration of fetus followed by local and systemic methotrexate administration can be safely used to treat unruptured tubal ectopic pregnancies.
- Fertility and sterility 12/2011; 96(6):e163; author reply e164. DOI:10.1016/j.fertnstert.2011.09.027 · 4.59 Impact Factor
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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.Journal of Minimally Invasive Gynecology 03/2013; 20(2):252-4. DOI:10.1016/j.jmig.2012.10.012 · 1.58 Impact Factor