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Panminerva Medica 2000 June;42(2):159-61

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Contribution to the choice of therapy in abdominal pregnancy

Cobellis L., Stradella L., Messalli E. M.

From the Second University of Naples, School of Medicine Department of Gynecology and Obstetrics Naples, Italy


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The ­goal of our ­study was to ­offer our con­tri­bu­tion to the selec­tion of the ­most suit­able ther­a­py to ­treat abdom­i­nal preg­nan­cy. We dis­cuss ­three ­patients affect­ed ­with ­this pathol­o­gy, ­which was diag­nosed ear­ly by lapa­ros­co­py. The ­patients ­were treat­ed ­with 50 mg/m2 of methot­rex­ate admin­is­tered intra­ve­nous­ly. The abdom­i­nal preg­nan­cy was ter­mi­nat­ed in all ­three ­patients. ­Since the out­come ­involved ter­mi­na­tion of the preg­nan­cy, it is impor­tant to empha­size ­that methot­rex­ate ther­a­py ­must be con­sid­ered elec­tive. Oper­a­tive lapa­ros­co­py can be lim­it­ed ­only to cas­es in ­which the ­ovum has not ­become implant­ed in the intes­ti­nal inter­stic­es and is not ­near ­sites sus­cep­ti­ble to com­pli­ca­tions.

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