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

lingua: Inglese

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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