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Conservative management of cervical pregnancy with intramuscular administration of methotrexate and KCl injection: Case report and review of the literature 被引量:2
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作者 stamatios petousis Chrysoula Margioula-Siarkou +4 位作者 Ioannis Kalogiannidis George Karavas Vasileios Palapelas Nikolaos Prapas David Rousso 《World Journal of Clinical Cases》 SCIE 2015年第1期81-84,共4页
We report the case of a cervical pregnancy successfully treated with intramuscular injection of methotrexate(MTX) and intramniotic administration of potassium chloride. A 41-year-old woman was admitted to our Departme... We report the case of a cervical pregnancy successfully treated with intramuscular injection of methotrexate(MTX) and intramniotic administration of potassium chloride. A 41-year-old woman was admitted to our Department with the suspicion of ectopic pregnancy. Transvaginal ultrasound revealed empty endometrialcavity, gestational sac within the cervical canal and embryonic echo measuring crown rump length 1.5 mm. Serum beta human chorionic gonadotropine(β-HCG) was measured 28590 IU/L. No cardiac activity was detected. The diagnosis of a cervical pregnancy was made. Patient was treated with intramuscular administration of methotrexate(50 mg/m2) in combination with ultrasoundguided intramniotic injection of KCl(2 meq/mL). Gradual decrease of β-HCG levels as well as ultrasound observation of collapsed gestational sac was observed. No curettage was necessitated. Patient was discharged on day 10 th and was set in follow-up on a weekly basis. β-HCG values were measured < 10 IU/L on 56 th day after MTX administration. Intramuscular administration of MTX may be effective in treatment of cervical pregnancy without additional interventional measures. 展开更多
关键词 CERVICAL PREGNANCY METHOTREXATE Effectiveness CONSERVATIVE treatment INTRAMUSCULAR
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