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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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| 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. |
| format | Article |
| id | doaj-art-c9b05c8381be4ce18c7a3e4f60775393 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| 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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