Video laparoscopic intervention for an interstitial pregnancy after failure of clinical treatment

Sao Paulo Medical Journal

Nilson Abrão Szylit²  Sérgio Podgaec¹  Evelyn Traina¹  Rita De Cassia Sanches Oliveira¹ 

[1] ,Instituto Israelita de Responsabilidade Social Albert Einstein Birth Control Outpatient Clinic São Paulo,Brazil

关键词: Pregnancy;    ectopic;    Laparoscopy;    Ultrasonography;    Prenatal care;    Methotrexate;    Gravidez ectópica;    Laparoscopia;    Ultrassonografia;    Cuidado pré-natal;    Metotrexato;   

DOI  :  10.1590/S1516-31802012000300011

来源: SciELO

【 摘 要 】

CONTEXT: Interstitial pregnancy is a rare form of ectopic pregnancy for which the best therapeutic course of action has yet to be determined. Surgical intervention entails a high risk of hemorrhage due to the great vascularization of the cornual region of the uterus. Case descriptions facilitate the analysis of results and aid clinicians in determining the most appropriate course of action in these situations. CASE REPORT: In a patient with an ultrasound diagnosis of interstitial pregnancy, clinical treatment using methotrexate was chosen. However, after one week, there was a marked decline in the serum level of the β subunit of chorionic gonadotropin hormone, although an ultrasound examination revealed embryonic cardiac activity. A second dose of the chemotherapy was administered. Embryonic cardiac activity persisted 48 hours later. Video laparoscopy was performed to achieve right-side cornual resection, which resulted in satisfactory resolution of the case.

【 授权许可】

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