Angular-Interstitial Pregnancy Treated With Minimally Invasive Surgery After Adjuvant Methotrexate Medical Therapy
نویسندگان
چکیده
BACKGROUND Angular-interstitial pregnancy is a rare and potentially dangerous occurrence of ectopic pregnancy for which appropriate treatment has not been established. METHODS A 41-year-old woman with a history of ectopic pregnancy was treated with a combined regimen of conservative treatment comprising medical therapy with methotrexate and a minimally invasive laparoscopic-assisted surgical approach. Results The patient had an unremarkable postoperative course and was discharged after 32 hours. A transvaginal ultrasound scan control 2 weeks later revealed a normal uterine wall, with normal uterine adnexa. CONCLUSION With our combined treatment approach we avoided hysterectomy, and we achieved a more adequate uterine repair, improving future fertility.
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