An Early Abdominal Wall Ectopic Pregnancy Successfully Treated with Ultrasound Guided Intralesional Methotrexate: A Case Report

Background. The upper anterior abdominal wall is a very unusual location for an ectopic pregnancy making optimal management uncertain. Case. We report the case of a 26-year-old gravida 4, para 1, aborta 2 with a rising quantitative human chorionic gonadotropin level following a negative diagnostic l...

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Main Authors: Paynesha M. Anderson, Erin K. Opfer, Jeanne M. Busch, Everett F. Magann
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2009/247452
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author Paynesha M. Anderson
Erin K. Opfer
Jeanne M. Busch
Everett F. Magann
author_facet Paynesha M. Anderson
Erin K. Opfer
Jeanne M. Busch
Everett F. Magann
author_sort Paynesha M. Anderson
collection DOAJ
description Background. The upper anterior abdominal wall is a very unusual location for an ectopic pregnancy making optimal management uncertain. Case. We report the case of a 26-year-old gravida 4, para 1, aborta 2 with a rising quantitative human chorionic gonadotropin level following a negative diagnostic laparoscopic examination. She was subsequently diagnosed with an abdominal wall ectopic pregnancy 2 cm inferior to the liver. A single percutaneous intralesional injection of methotrexate was successful after initial failure with systemic methotrexate. Conclusion. Systemic methotrexate is a logical first choice for management of a stable early abdominal wall pregnancy. Direct intralesional injection of methotrexate as the next treatment choice may avoid the morbidity linked with operative management.
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institution Kabale University
issn 1687-9589
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language English
publishDate 2009-01-01
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series Obstetrics and Gynecology International
spelling doaj-art-c9b05c8381be4ce18c7a3e4f607753932025-02-03T05:47:03ZengWileyObstetrics and Gynecology International1687-95891687-95972009-01-01200910.1155/2009/247452247452An Early Abdominal Wall Ectopic Pregnancy Successfully Treated with Ultrasound Guided Intralesional Methotrexate: A Case ReportPaynesha M. Anderson0Erin K. Opfer1Jeanne M. Busch2Everett F. Magann3Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth, Portsmouth, VA 23708, USADepartment of Radiology, Naval Medical Center Portsmouth, Portsmouth, VA 23708, USADepartment of Obstetrics and Gynecology, Naval Medical Center Portsmouth, Portsmouth, VA 23708, USADepartment of Obstetrics and Gynecology, Naval Medical Center Portsmouth, Portsmouth, VA 23708, USABackground. The upper anterior abdominal wall is a very unusual location for an ectopic pregnancy making optimal management uncertain. Case. We report the case of a 26-year-old gravida 4, para 1, aborta 2 with a rising quantitative human chorionic gonadotropin level following a negative diagnostic laparoscopic examination. She was subsequently diagnosed with an abdominal wall ectopic pregnancy 2 cm inferior to the liver. A single percutaneous intralesional injection of methotrexate was successful after initial failure with systemic methotrexate. Conclusion. Systemic methotrexate is a logical first choice for management of a stable early abdominal wall pregnancy. Direct intralesional injection of methotrexate as the next treatment choice may avoid the morbidity linked with operative management.http://dx.doi.org/10.1155/2009/247452
spellingShingle Paynesha M. Anderson
Erin K. Opfer
Jeanne M. Busch
Everett F. Magann
An Early Abdominal Wall Ectopic Pregnancy Successfully Treated with Ultrasound Guided Intralesional Methotrexate: A Case Report
Obstetrics and Gynecology International
title An Early Abdominal Wall Ectopic Pregnancy Successfully Treated with Ultrasound Guided Intralesional Methotrexate: A Case Report
title_full An Early Abdominal Wall Ectopic Pregnancy Successfully Treated with Ultrasound Guided Intralesional Methotrexate: A Case Report
title_fullStr An Early Abdominal Wall Ectopic Pregnancy Successfully Treated with Ultrasound Guided Intralesional Methotrexate: A Case Report
title_full_unstemmed An Early Abdominal Wall Ectopic Pregnancy Successfully Treated with Ultrasound Guided Intralesional Methotrexate: A Case Report
title_short An Early Abdominal Wall Ectopic Pregnancy Successfully Treated with Ultrasound Guided Intralesional Methotrexate: A Case Report
title_sort early abdominal wall ectopic pregnancy successfully treated with ultrasound guided intralesional methotrexate a case report
url http://dx.doi.org/10.1155/2009/247452
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