Interstitial pregnancy is considered one of the most hazardous types of ectopic pregnancies, with a mortality rate of 22.5%. We describe a case of a viable monochorionic twin pregnancy in a 35-year-old woman successfully treated with systemic methotrexate associated with bilateral uterine arteries' embolization. β-hCG was undetectable 67 days after the first administration of methotrexate and the ultrasonography performed on day 67 showed the remnant of the gestational sac in the right uterine horn, a thin endometrium and a normal myometrial vascularization. Conservative treatment allowed us to avoid surgical treatment and to preserve the patient's fertility. © 2013 Japan Society of Obstetrics and Gynecology.

Conservative treatment for interstitial monochorionic twin pregnancy: Case report and review of the published work / Berretta, Roberto; Merisio, Carla; Dall'Asta, Andrea; Verrotti, Carla; Rolla, Martino; Bruni, Stefano; Modena, Alberto Bacchi. - In: THE JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH. - ISSN 1341-8076. - 40:3(2014), pp. 829-832. [10.1111/jog.12250]

Conservative treatment for interstitial monochorionic twin pregnancy: Case report and review of the published work

BERRETTA, Roberto;MERISIO, Carla;DALL'ASTA, Andrea;ROLLA, MARTINO;
2014

Abstract

Interstitial pregnancy is considered one of the most hazardous types of ectopic pregnancies, with a mortality rate of 22.5%. We describe a case of a viable monochorionic twin pregnancy in a 35-year-old woman successfully treated with systemic methotrexate associated with bilateral uterine arteries' embolization. β-hCG was undetectable 67 days after the first administration of methotrexate and the ultrasonography performed on day 67 showed the remnant of the gestational sac in the right uterine horn, a thin endometrium and a normal myometrial vascularization. Conservative treatment allowed us to avoid surgical treatment and to preserve the patient's fertility. © 2013 Japan Society of Obstetrics and Gynecology.
Conservative treatment for interstitial monochorionic twin pregnancy: Case report and review of the published work / Berretta, Roberto; Merisio, Carla; Dall'Asta, Andrea; Verrotti, Carla; Rolla, Martino; Bruni, Stefano; Modena, Alberto Bacchi. - In: THE JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH. - ISSN 1341-8076. - 40:3(2014), pp. 829-832. [10.1111/jog.12250]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11381/2833584
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