Successful Conservative Chemotherapy for Intramural Pregnancy: A Case Report / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
; : 2476-2481, 2003.
Article
em Ko
| WPRIM
| ID: wpr-7522
Biblioteca responsável:
WPRO
ABSTRACT
More than 95% of ectopic pregnancies involve the fallopian tubes. Other sites of ectopic implantation are less frequent, and a pregnancy in the myometrium is extremely rare. Few cases are reported in the literature which satisfy the criteria required for the diagnosis of intramural ectopic pregnancy, and unequivocal diagnosis without extirpation of the ruptured uterus is difficult. Most of ruptured cases have been treated with surgical modality including hysterectomy, and for more conservative management early detection is important. MRI is a useful, noninvasive and confirmative imaging modality for the detection of intramural pregnancy. Chemotherapy with methotrexate is an effective treatment that allows preservation of reproductive potential in selected case. We described a case of unruptured intramural pregnancy diagnosed with MRI and successfully treated with methotrexate. Theoretical and possible pathophysiologic derangements of this rare pregnancy- related disorder are also reviewed.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Gravidez Ectópica
/
Útero
/
Imageamento por Ressonância Magnética
/
Metotrexato
/
Diagnóstico
/
Tratamento Farmacológico
/
Tubas Uterinas
/
Histerectomia
/
Miométrio
Tipo de estudo:
Diagnostic_studies
/
Screening_studies
Limite:
Animals
/
Pregnancy
Idioma:
Ko
Revista:
Korean Journal of Obstetrics and Gynecology
Ano de publicação:
2003
Tipo de documento:
Article