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Clinical and Experimental Obstetrics & Gynecology  2016, Vol. 43 Issue (6): 899-901    DOI: 10.12891/ceog3189.2016
Case Report Previous articles | Next articles
Successful transvaginal aspiration of interstitial pregnancy after failed methotrexate treatment
I. F. Yang1, J. L. Hwang2, *(), H. J. Chen1, L. W. Huang3
1Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City
2Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital School of Medicine, Taipei Medical University, Taipei City; 3 Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital School of Medicine, Fu-Jen Catholic University, New Taipei City (Taiwan)
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Abstract  
Interstitial pregnancy is an uncommon condition that is challenging, not only in making an accurate diagnosis, but also in the choice of treatment. Systemic methotrexate (MTX) treatment has been favored to prevent scarring of the uterus. Nevertheless, surgery is generally indicated when this treatment fails. Transvaginal aspiration of the gestational tissue has been proposed as an alternative to surgery. The authors present a case of interstitial pregnancy in which the patient failed to respond to multidose MTX treatment and was successfully treated with transvaginal sonography-guided transvaginal aspiration of the gestational tissue, thereby bypassing the risk associated with undergoing major surgery. Transvaginal aspiration of conceptive tissue may be a novel treatment for patients with unruptured interstitial pregnancy.
Key words:  Transvaginal aspiration      Interstitial pregnancy     
Published:  10 December 2016     
*Corresponding Author(s):  J. L. HWANG     E-mail:  frank.fanny@msa.hinet.net

Cite this article: 

I. F. Yang, J. L. Hwang, H. J. Chen, L. W. Huang. Successful transvaginal aspiration of interstitial pregnancy after failed methotrexate treatment. Clinical and Experimental Obstetrics & Gynecology, 2016, 43(6): 899-901.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3189.2016     OR     https://ceog.imrpress.com/EN/Y2016/V43/I6/899

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