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Non-surgical treatment of ectopic pregnancy in the sole remaining tube
Authors:Parrilla, J.J.   Abad, L.   Server, J.   Gimeno, F.   Martinez-Roman, S.   Balasch, J.
Affiliation:1Department of Obstetrics and Gynecology, Hospital Universitario Virgen de la Arrixaca, Carretera Madrid-Cartagena s/n 30120-E1 Palmar (Murcia) 2Department of Obstetrics and Gynecology, Faculty of Medicine, University of Barcelona, Hospital Clínic i Provincial Barcelona, Spain
Abstract:We reported on three successive cases of intrauterine term pregnancyobtained in patients with an ectopic gestation in their solitaryremaining tube who were treated by three different non-surgicalconservative methods: parenteral methotrexate, local injectionof methotrexate combined with systemic administration, and expectantmanagement respectively. The opposite tube had been removedbecause of previous tubal ectopic pregnancy. The cases, whichwere at a high risk of repeated ectopic implantation, are unequivocalproof of intact function of a tube after conservative non-surgicalprocedures for ectopic pregnancy. Thus, our report adds furtherevidence favouring the feasibility, the safety and fertilitypotential of these procedures for selected unruptured tubalgestations.
Keywords:conservative non-surgical treatment/ectopic pregnancy/expectant management/methotrexate
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