Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Interstitial pregnancy managed medically. A case report

L S Swaim1, N F Maklad

  • 1Department of Obstetrics, Gynecology and Reproductive Sciences, University of Texas Medical School at Houston 77030, USA.

The Journal of Reproductive Medicine
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Clinical utility of routine postpartum hemoglobin determinations.

American journal of perinatology·1999
Same author

Umbilical cord blood pH after prior cesarean delivery.

Obstetrics and gynecology·1998
Same author

The chorionic rim and low-impedance intrauterine arterial flow in the diagnosis of early intrauterine pregnancy: evaluation of efficacy.

AJR. American journal of roentgenology·1996
Same author

Cytomegalic inclusion disease: intrauterine sonographic diagnosis using findings involving the brain.

AJNR. American journal of neuroradiology·1991
Same author

Tuberculous abscess of the testicle in AIDS: sonographic demonstration.

Urologic radiology·1990
Same author

Ultrasound examination of adolescent females with lower abdominal pain.

Journal of adolescent health care : official publication of the Society for Adolescent Medicine·1988
Same journal

Elective Procedures in Obstetrics and Gynecology During the COVID-19 Pandemic.

The Journal of reproductive medicine·2022
Same journal

Choriocarcinoma in Situ in a Partial Hydatidiform Mole A: Case Report.

The Journal of reproductive medicine·2018
Same journal

Isolated Recurrent Hematotrachelos After Abdominal Myomectomy A Case Report.

The Journal of reproductive medicine·2018
Same journal

Live Birth from Electively Cryopreserved Oocytes: A Feasible Option for Couples Opposed to Embryo Cryopreservation A Case Report.

The Journal of reproductive medicine·2018
Same journal

Prevalence and Risk Factors of Ejaculation Failure on the Day of Operation Among Chinese Males Undergoing Assisted Reproductive Technique Treatments.

The Journal of reproductive medicine·2018
Same journal

Efficacy and Safety of Perioperative Use of Epinephrine for Laparoscopic Myomectomy in Infertile Women with Symptomatic Solitary Intramural Uterine Fibroids A Randomized Clinical Trial.

The Journal of reproductive medicine·2018
See all related articles

Intramuscular methotrexate offers a successful, non-surgical treatment for interstitial pregnancies, avoiding the need for invasive surgery. This approach preserves reproductive health in women with this rare form of ectopic gestation.

Area of Science:

  • Reproductive Endocrinology
  • Gynecologic Surgery
  • Pharmacologic Therapeutics

Background:

  • Interstitial pregnancies carry high morbidity risks.
  • Surgical management often necessitates laparotomy and cornual resection, resulting in loss of tubal and uterine continuity.
  • While methotrexate is effective for tubal ectopic pregnancies, its use in interstitial cases is less documented.

Observation:

  • An 18-year-old woman presented with an asymptomatic interstitial pregnancy.
  • Treatment involved a single dose of intramuscular methotrexate.
  • The patient experienced no adverse effects and avoided surgical intervention.

Findings:

  • Intramuscular methotrexate achieved a successful treatment outcome for the interstitial pregnancy.

Related Experiment Videos

  • The patient's tubal and uterine continuity were preserved.
  • The non-surgical approach was well-tolerated with no noted complications.

    • Implications:

    • Methotrexate is a viable and effective alternative to surgery for interstitial pregnancies.
    • This treatment can preserve fertility and avoid the morbidity associated with laparotomy and cornual resection.
    • Further research into methotrexate protocols for interstitial pregnancies is warranted to establish broader clinical guidelines.