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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2012, Number 05

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Ginecol Obstet Mex 2012; 80 (05)

Failure in the Conservative Treatment of a Cervical Ectopic Pregnancy Case Using Methotrexate

Molina Sa, Calvo AO, Amoroso HMA, Reyes BRE
Full text How to cite this article

Language: Spanish
References: 8
Page: 348-354
PDF size: 538.07 Kb.


Key words:

ectopic pregnancy, cervical ectopic pregnancy, methotrexate, conservative management.

ABSTRACT

Cervical ectopic pregnancy is a rare condition that occurs in 1 in 2500 to 18,000 pregnancies, is associated with high morbidity and mortality can be reduced by early diagnosis through ultrasound and in this time series of reported cases indicate that the best method of treatment is the drug conservatively with methotrexate. This case is presented to show a failure of conservative treatment and decision making removal of the gravid uterus with subsequent pathology report confirming diagnosis.


REFERENCES

  1. Kirk E, Condous G, Haider Z, Syed A, Ojha K, Bourne T. The conservative management of cervical ectopic pregnancies. Ultrasound Obstet Gynecol 2006;27:430-437.

  2. Api O, Unal O, Api M, Ergin M, Alkan N, Kars B, et al. Ultrasonography appearance of cervical pregnancy following successful treatment with methotrexate. Ultrasound Obstet Gynecol 2006; 28:845-847.

  3. Mukul LV, Teal SB. Current management of ectopic pregnancy. Obstet Gynecol Clin N Am 2007;34:403-419.

  4. Spitzer D, Steiner H, Graf A, Zajc M, Staudach A. Conservative treatment of cervical pregnancy by curettage and local prostaglandin injection. Human Reproduction 1997;12(4): 860-866.

  5. Kim TJ, Seong SJ, Lee KJ, Lee JH, Shin JS, Lim KT, et al. Clinical outcomes of patients treated for cervical pregnancy with or without methotrexate. J Korean Med Sci 2004;19:848-852.

  6. Attar E. Endocrinology of ectopic pregnancy. Obstet Gynecol Clin N Am 2004;31:779-794.

  7. Plascencia-Moncayo N, Hernández MP, Guadarrama-Sánchez R, Guerra-Becerra L, Salmón-Vélez JF, Galván-Aguilera E. Embarazo cervical. Tres casos. Ginecol Obstet Mex 2008;76(12):744-748.

  8. Hung TH, Shau WY, Hasieh TT, Hsu JJ, Soong YK, Jeng CJ. Prognostic factors for an unsatisfactory primary methotrexate treatment of cervical pregnancy: a quantitative review. Human Reproduction 1998;13(9):2636-2642.




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C?MO CITAR (Vancouver)

Ginecol Obstet Mex. 2012;80