Video laparoscopic intervention for an interstitial pregnancy after failure of clinical treatment
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000300011 |
Resumo: | CONTEXT: Interstitial pregnancy is a rare form of ectopic pregnancy for which the best therapeutic course of action has yet to be determined. Surgical intervention entails a high risk of hemorrhage due to the great vascularization of the cornual region of the uterus. Case descriptions facilitate the analysis of results and aid clinicians in determining the most appropriate course of action in these situations. CASE REPORT: In a patient with an ultrasound diagnosis of interstitial pregnancy, clinical treatment using methotrexate was chosen. However, after one week, there was a marked decline in the serum level of the β subunit of chorionic gonadotropin hormone, although an ultrasound examination revealed embryonic cardiac activity. A second dose of the chemotherapy was administered. Embryonic cardiac activity persisted 48 hours later. Video laparoscopy was performed to achieve right-side cornual resection, which resulted in satisfactory resolution of the case. |
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São Paulo medical journal (Online) |
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Video laparoscopic intervention for an interstitial pregnancy after failure of clinical treatmentPregnancy, ectopicLaparoscopyUltrasonographyPrenatal careMethotrexateCONTEXT: Interstitial pregnancy is a rare form of ectopic pregnancy for which the best therapeutic course of action has yet to be determined. Surgical intervention entails a high risk of hemorrhage due to the great vascularization of the cornual region of the uterus. Case descriptions facilitate the analysis of results and aid clinicians in determining the most appropriate course of action in these situations. CASE REPORT: In a patient with an ultrasound diagnosis of interstitial pregnancy, clinical treatment using methotrexate was chosen. However, after one week, there was a marked decline in the serum level of the β subunit of chorionic gonadotropin hormone, although an ultrasound examination revealed embryonic cardiac activity. A second dose of the chemotherapy was administered. Embryonic cardiac activity persisted 48 hours later. Video laparoscopy was performed to achieve right-side cornual resection, which resulted in satisfactory resolution of the case.Associação Paulista de Medicina - APM2012-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000300011Sao Paulo Medical Journal v.130 n.3 2012reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31802012000300011info:eu-repo/semantics/openAccessSzylit,Nilson AbrãoPodgaec,SérgioTraina,EvelynOliveira,Rita de Cassia Sancheseng2012-07-12T00:00:00Zoai:scielo:S1516-31802012000300011Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2012-07-12T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Video laparoscopic intervention for an interstitial pregnancy after failure of clinical treatment |
title |
Video laparoscopic intervention for an interstitial pregnancy after failure of clinical treatment |
spellingShingle |
Video laparoscopic intervention for an interstitial pregnancy after failure of clinical treatment Szylit,Nilson Abrão Pregnancy, ectopic Laparoscopy Ultrasonography Prenatal care Methotrexate |
title_short |
Video laparoscopic intervention for an interstitial pregnancy after failure of clinical treatment |
title_full |
Video laparoscopic intervention for an interstitial pregnancy after failure of clinical treatment |
title_fullStr |
Video laparoscopic intervention for an interstitial pregnancy after failure of clinical treatment |
title_full_unstemmed |
Video laparoscopic intervention for an interstitial pregnancy after failure of clinical treatment |
title_sort |
Video laparoscopic intervention for an interstitial pregnancy after failure of clinical treatment |
author |
Szylit,Nilson Abrão |
author_facet |
Szylit,Nilson Abrão Podgaec,Sérgio Traina,Evelyn Oliveira,Rita de Cassia Sanches |
author_role |
author |
author2 |
Podgaec,Sérgio Traina,Evelyn Oliveira,Rita de Cassia Sanches |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Szylit,Nilson Abrão Podgaec,Sérgio Traina,Evelyn Oliveira,Rita de Cassia Sanches |
dc.subject.por.fl_str_mv |
Pregnancy, ectopic Laparoscopy Ultrasonography Prenatal care Methotrexate |
topic |
Pregnancy, ectopic Laparoscopy Ultrasonography Prenatal care Methotrexate |
description |
CONTEXT: Interstitial pregnancy is a rare form of ectopic pregnancy for which the best therapeutic course of action has yet to be determined. Surgical intervention entails a high risk of hemorrhage due to the great vascularization of the cornual region of the uterus. Case descriptions facilitate the analysis of results and aid clinicians in determining the most appropriate course of action in these situations. CASE REPORT: In a patient with an ultrasound diagnosis of interstitial pregnancy, clinical treatment using methotrexate was chosen. However, after one week, there was a marked decline in the serum level of the β subunit of chorionic gonadotropin hormone, although an ultrasound examination revealed embryonic cardiac activity. A second dose of the chemotherapy was administered. Embryonic cardiac activity persisted 48 hours later. Video laparoscopy was performed to achieve right-side cornual resection, which resulted in satisfactory resolution of the case. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000300011 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000300011 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1516-31802012000300011 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.130 n.3 2012 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209263397371904 |