Successful conservative medical management of an interstitial ectopic pregnancy at 10 weeks of gestation: A case report.
Conservative management
Ectopic pregnancy
Interstitial pregnancy
Journal
Case reports in women's health
ISSN: 2214-9112
Titre abrégé: Case Rep Womens Health
Pays: Netherlands
ID NLM: 101682122
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
23
11
2020
revised:
12
12
2020
accepted:
22
12
2020
entrez:
25
1
2021
pubmed:
26
1
2021
medline:
26
1
2021
Statut:
epublish
Résumé
Interstitial pregnancy is a rare type of ectopic pregnancy, accounting for 2-6% of ectopic pregnancies, but it can be life threatening. There is no clear consensus on management, either surgical or medical, and it depends on hemodynamic stability and whether fertility-sparing treatment is requested. We present the case of a 35-year-old woman (G2, P1) who was diagnosed with an interstitial pregnancy at 10 weeks of gestation following in vitro fertilization. She was hemodynamically stable and requested fertility-sparing treatment. She was managed successfully with methotrexate and folinic acid with a hospital stay of 17 days. Interstitial pregnancy can be managed medically. However, these patients require close monitoring.
Sections du résumé
BACKGROUND
BACKGROUND
Interstitial pregnancy is a rare type of ectopic pregnancy, accounting for 2-6% of ectopic pregnancies, but it can be life threatening. There is no clear consensus on management, either surgical or medical, and it depends on hemodynamic stability and whether fertility-sparing treatment is requested.
CASE PRESENTATION
METHODS
We present the case of a 35-year-old woman (G2, P1) who was diagnosed with an interstitial pregnancy at 10 weeks of gestation following in vitro fertilization. She was hemodynamically stable and requested fertility-sparing treatment. She was managed successfully with methotrexate and folinic acid with a hospital stay of 17 days.
CONCLUSION
CONCLUSIONS
Interstitial pregnancy can be managed medically. However, these patients require close monitoring.
Identifiants
pubmed: 33489785
doi: 10.1016/j.crwh.2020.e00284
pii: S2214-9112(20)30114-4
pmc: PMC7807208
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e00284Informations de copyright
© 2020 The Authors.
Références
Swiss Med Wkly. 2013 Feb 27;143:w13736
pubmed: 23519911
Aust N Z J Obstet Gynaecol. 2015 Apr;55(2):176-80
pubmed: 25870950
J Res Med Sci. 2015 Mar;20(3):312-6
pubmed: 26109980
Aust N Z J Obstet Gynaecol. 2017 Jun;57(3):342-345
pubmed: 27456318
J Gynecol Obstet Biol Reprod (Paris). 2016 Sep;45(7):673-8
pubmed: 26993077
Aust N Z J Obstet Gynaecol. 2006 Apr;46(2):107-11
pubmed: 16638031
Case Rep Obstet Gynecol. 2018 Oct 15;2018:2815871
pubmed: 30410806
Am J Obstet Gynecol. 2010 Jan;202(1):15-29
pubmed: 20096253
Pak J Med Sci. 2017 Mar-Apr;33(2):476-482
pubmed: 28523060