Conservative management of a viable cervical ectopic pregnancy with systemic and multiple local methotrexate injections. A case report

Fouda, Aya; Enayat, Ashraf; Ahmed, Walaa

doi:10.1080/13625187.2022.2026325

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…Medical management combined with local injections has several advantages including avoidance of surgery, decreased risk of hemorrhage, outpatient follow-up, and is generally tolerated well [17 ▪ ,19,20]. However, patients must be thoroughly counseled regarding the risks of methotrexate treatment and must agree to close, frequent, and prolonged follow-up.…”

Section: Medical Managementmentioning

confidence: 99%

“…Treatment of CEPs bears many similarities to treatment of CSEPs. Medical management with systemic methotrexate is often utilized, often combined with intragestational injection of methotrexate ± KCl [20]. Systemic methotrexate has also been described with use of concurrent dilation and curettage, double balloon catheter, hysteroscopic treatment, or UAE for management [21,22 ▪ ,28,42 ▪▪ ,43,44].…”

Section: Treatmentmentioning

confidence: 99%

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An update and review of nontubal ectopic pregnancy management

Kostroun

Robinson

2023

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of review Nontubal ectopic pregnancies appear to be increasing in prevalence. Increasingly, minimally invasive methods for management are being utilized. A current literature review and recommendations for management of nontubal ectopic pregnancy is presented in this review. Recent findings Nontubal ectopic pregnancies are less common than tubal ectopic pregnancies but present a unique and significant threat to patient's health and are optimally managed by specialists familiar with the condition. Early diagnosis, prompt treatment and close follow-up to resolution are critical. Recent publications focus on fertility-sparing and conservative management through the use of medications both systemic and local; as well as minimally invasive surgical techniques. The Society of Maternal Fetal Medicine recommends against expectant management of cesarean scar pregnancies; however, optimal treatment is unknown and this holds true for management of other nontubal ectopic pregnancies. Summary Minimally invasive and fertility sparing management should be the mainstay in treatment of stable patients with nontubal ectopic pregnancy.

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Section: Medical Managementmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

An update and review of nontubal ectopic pregnancy management

Kostroun

Robinson

2023

Current Opinion in Obstetrics &Amp; Gynecology

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show abstract

“…Current management strategies aim to preserve fertility as previously this presentation has been associated with hysterectomy. Medical management predominantly involves systemic or local methotrexate in single- or multi-dose regimens [ [4] , [5] , [6] , [7] ]. Surgical management strategies involve dilatation and curettage or hysteroscopic resection with subsequent steps to control haemorrhage [ [8] , [9] , [10] ].…”

Section: Introductionmentioning

confidence: 99%

Conservative management of a viable cervical ectopic pregnancy with systemic and multiple local methotrexate injections. A case report

Cited by 2 publications

References 9 publications

An update and review of nontubal ectopic pregnancy management

An update and review of nontubal ectopic pregnancy management

Neo-adjuvant methotrexate to aid minimally invasive surgery in cervical ectopic pregnancy: A case report

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