Conservative Treatment of Interstitial Ectopic Pregnancy with the Combination of Mifepristone and Methotrexate: Our Experience and Review of the Literature.


Journal

BioMed research international
ISSN: 2314-6141
Titre abrégé: Biomed Res Int
Pays: United States
ID NLM: 101600173

Informations de publication

Date de publication:
2020
Historique:
received: 09 04 2020
accepted: 25 06 2020
entrez: 18 8 2020
pubmed: 18 8 2020
medline: 23 4 2021
Statut: epublish

Résumé

Interstitial pregnancy (IP) is an ectopic pregnancy (EP) located in the portion of the fallopian tube that penetrates the uterine muscular layer. Incidence increased in the last two decades with the widespread use of the assisted reproductive techniques. It is estimated in 1-6% of all the EPs, with a maternal mortality rate of 2.0-2.5%. Clinical presentation, gestational age at diagnosis, beta-human chorionic gonadotropin ( A literature search was carried out on MEDLINE, EMBASE, and PUBMED. We identified two cases of IP referred to the Institute for Maternal and Child Burlo Garofolo, Trieste. Data related to clinical presentation, In the first case, Clinical management of IP remains a debated topic. In selected cases, a systemic multidose MTX regimen combined with a single oral dose of Mifepristone could be considered also in the presence of high serum

Identifiants

pubmed: 32802882
doi: 10.1155/2020/8703496
pmc: PMC7421079
doi:

Substances chimiques

Chorionic Gonadotropin, beta Subunit, Human 0
Mifepristone 320T6RNW1F
Methotrexate YL5FZ2Y5U1

Types de publication

Case Reports Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

8703496

Informations de copyright

Copyright © 2020 Guglielmo Stabile et al.

Déclaration de conflit d'intérêts

The authors declare that they have no competing interests.

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Auteurs

Guglielmo Stabile (G)

Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.

Federico Romano (F)

Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.

Francesca Buonomo (F)

Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.

Giulia Zinicola (G)

Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.

Giuseppe Ricci (G)

Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.
Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.

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Classifications MeSH