Non–surgical management of abdominal ectopic pregnancy with uterine artery embolization |
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| Authors: | Merve Ozen Evan Birmingham Mark Hoffman Driss Raissi |
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| Affiliation: | aDivision of Interventional Radiology, Department of Radiology, University of Kentucky Medical Center, Lexington, KY, USA;bUniversity of Kentucky, Collage of Medicine, Lexington, KY, USA;cDepartment of Obstetrics and Gynecology, University of Kentucky Medical Center, Lexington, KY, USA |
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| Abstract: | Abdominal pregnancy is a rare but life-threatening variation of ectopic pregnancy that is often treated with laparoscopic management; however, we present a case successfully treated using only minimally invasive techniques. A 36-year-old female G1P0 with a history of infertility is diagnosed with 11-weeks abdominal pregnancy by transvaginal ultrasound. She presented with vaginal bleeding and abdominal pain, and her beta-human chorionic gonadotropin was 53,680 mIU/mL. The location of the fetal sac was not amenable to surgery or percutaneous injection. We performed bilateral uterine artery embolization and subsequent intramuscular methotrexate injection. The procedure was successful with no complications. The patient was followed at postoperative week 11, and beta-human chorionic gonadotropin was 2 mIU/mL, and at 3 months, a transvaginal ultrasound revealed resolution of the abdominal pregnancy. |
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| Keywords: | UAE Embolization Uterine artery Ectopic Pregnancy Abdominal |
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