scholarly journals Non-surgical management of live ectopic pregnancy with ultrasound-guided local injection: a case series

2005 ◽  
Vol 25 (3) ◽  
pp. 282-288 ◽  
Author(s):  
A. Monteagudo ◽  
V. K. Minior ◽  
C. Stephenson ◽  
S. Monda ◽  
I. E. Timor-Tritsch
Keyword(s):  
Ectopic Pregnancy ◽  
Surgical Management ◽  
Case Series ◽  
Local Injection ◽  
Ultrasound Guided

scholarly journals Cornual Ectopic Pregnancy: Case Series

2015 ◽  
Vol 10 (1) ◽  
pp. 62-65
Author(s):  
G Baral ◽  
B Shakya ◽  
J Silwal
Keyword(s):  
Ectopic Pregnancy ◽  
Surgical Management ◽  
Case Series ◽  
Cornual Pregnancy ◽  
Intrauterine Pregnancy ◽  
Tubal Ectopic Pregnancy ◽  
Pregnancy Diagnosis ◽  
Potential Loss

Three cases of cornual pregnancies encountered within three weeks at Paropakar Maternity and Women’s Hospital had diverse presentations. Fortunately, in all three case series, cornual resection was performed successfully. Cornual pregnancy is difficult to diagnose preoperatively with low ultrasonographic sensitivity and is easily confused with tubal ectopic pregnancy or a normal intrauterine pregnancy. Diagnosis before rupture is essential to prevent mortality and potential loss of fertility. The surgical management of diagnosed cornual pregnancy consists of hemostasis, resection, repair and reconstruction. 

scholarly journals A novel approach in non-surgical management of tubal ectopic: combination of minimally invasive technique under ultrasound guidance with systemic methotrexate based on initial beta-HCG levels

2021 ◽  
Author(s):  
Mayoukh Kumar Chakraborty ◽  
Shalini Gainder ◽  
Subhas Chandra Saha ◽  
Rashmi Bagga
Keyword(s):  
Single Dose ◽  
Ectopic Pregnancy ◽  
Success Rate ◽  
Surgical Management ◽  
Dose Regimen ◽  
Ultrasound Guided ◽  
Group 3 ◽  
Group 2 ◽  
Β Hcg ◽  
Group 1

Background: Single dose methotrexate is the most preferred method of non-surgical management of unruptured tubal ectopic. A 2-dose regimen is suggested to treat tubal ectopic with higher trophoblastic cell load. Minimally invasive technique of ultrasound guided intracardiac KCL instillation along with systemic methotrexate has been in use even for live ectopic pregnancy. Objective of the study was to evaluate the success rate of single dose regimen of MTX (Methotrexate), 2-dose regimen of MTX and ultrasound guided instillation of intracardiac KCl in three different cohort of unruptured tubal ectopic pregnancy with an attempt to increase success of non-surgical management.Methods: Fifty-eight women with unruptured tubal ectopic pregnancy were assigned to treatment protocols according to the initial β-HCG levels and presence/absence of FCA (fetal cardiac activity). Group 1: presence of FCA in the tubal ectopic; Group 2: initial β-HCG ≤5000 IU/ml; Group 3:  initial β-HCG ≥5000 IU/ml without FCA. Women in group 1 were treated with ultrasound guided instillation of intracardiac KCl combined with systemic MTX. While women in group 2 were administered single dose regimen of MTX and group 3 received 2-dose regimen of MTX.Results: Overall success rate of non-surgical management was 89.3% across all groups. Success rate in Group 1 was 78.6%. Success rate was 93.1% in group 2 while 92.3% in group 3. Rupture rate was 1.7% in the present study.Conclusions: For non-surgical management categorizing and treating is an option with good result. Women with presence of cardiac activity can opt for non-surgical option with likely resolution in 78% cases.

scholarly journals Transvaginal Aspiration of Ectopic Gestational Sac: A Novel Treatment Option in Tubal Ectopic Pregnancies

2015 ◽  
Vol 7 (1) ◽  
pp. 1-4
Author(s):  
Vineet V Mishra ◽  
Urmila Sharma ◽  
Ritu Agarwal
Keyword(s):  
Ectopic Pregnancy ◽  
Treatment Option ◽  
Transvaginal Ultrasound ◽  
Case Series ◽  
Ultrasound Guided ◽  
Tubal Ectopic Pregnancy ◽  
Novel Treatment ◽  
Transvaginal Aspiration ◽  
Gestational Sac ◽  
Ectopic Pregnancies

ABSTRACT Objective To present five cases of unruptured tubal ectopic pregnancies treated with ultrasound-guided aspiration with local potassium chloride (KCl) or systemic methotrexate (MTX) administration. Design Case series. Setting A hospital-based prospective study. Patients Five women with unruptured tubal ectopic pregnancy. Interventions Transvaginal ultrasound-guided aspiration of tubal ectopic pregnancy followed by local KCl or intramuscular injection of MTX (50 mg/m2). Main outcome measures Successful conservative treatment of tubal ectopic pregnancies with preservation of fallopian tubes. Results Four (80%) out of five women weres uccessfully treated, without the need for operative intervention. One patient required salpingectomy for ruptured ectopic pregnancy during the course of treatment. Conclusion Transvaginal ultrasound-guided aspiration of ectopic gestational sac along with either local KCl or systemic methotrexate administration can be safely used to treat unruptured tubal ectopic pregnancies in selected patient population. How to cite this article Mishra VV, Choudhary S, Sharma U, Agarwal R. Transvaginal Aspiration of Ectopic Gestational Sac: A Novel Treatment Option in Tubal Ectopic Pregnancies. J South Asian Feder Obst Gynae 2015;7(1):1-4.

Conservative management of cervical pregnancy with embryonic heart activity by ultrasound-guided local injection: an eight case series

2013 ◽  
Vol 27 (13) ◽  
pp. 1378-1381 ◽  
Author(s):  
Julio Elito Júnior ◽  
Rubens Bermudes Musiello ◽  
Edward Araujo Júnior ◽  
Eduardo Souza ◽  
Jair Luiz Fava ◽  
...  
Keyword(s):  
Conservative Management ◽  
Case Series ◽  
Embryonic Heart ◽  
Local Injection ◽  
Heart Activity ◽  
Ultrasound Guided ◽  
Cervical Pregnancy

Ultrasound-Guided Lumbar Sympathetic Ganglion Blockade Using Shamrock Method: A Prospective Case Series

2016 ◽  
Vol 3 (3) ◽  
pp. 114-118 ◽  
Author(s):  
Dan-Xu Ma ◽  
Yun Wang ◽  
Meng-Meng Bao ◽  
Chen Zhang ◽  
Xue-Yang Li ◽  
...  
Keyword(s):  
Sympathetic Ganglion ◽  
Case Series ◽  
Ultrasound Guided ◽  
Prospective Case Series
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