Treatment of unruptured cornual pregnancies by local injections of methotrexate or potassium chloride under transvaginal ultrasonographic guidance

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dc.authoridCOSKUN, Ebru INCI/0000-0003-4402-3725
dc.authoridKaraer, Abdullah/0000-0002-2010-6211
dc.authoridMELEKOGLU, RAUF/0000-0001-7113-6691
dc.authorwosidCOSKUN, Ebru INCI/ABI-8238-2020
dc.authorwosidTuncay, Görkem/ABI-6418-2020
dc.authorwosidKaraer, Abdullah/ABI-4667-2020
dc.authorwosidMELEKOGLU, RAUF/AAF-1614-2019
dc.contributor.authorTuncay, Gorkem
dc.contributor.authorKaraer, Abdullah
dc.contributor.authorCoskun, Ebru Inci
dc.contributor.authorMelekoglu, Rauf
dc.date.accessioned2024-08-04T20:45:24Z
dc.date.available2024-08-04T20:45:24Z
dc.date.issued2018
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: To demonstrate the outcome of intralesional management and show the safety of local treatment of cornual pregnancy. Methods: Eight patients were treated with local methotrexate or potassium chloride injection. All patients underwent transvaginal ultrasound examination and were diagnosed by the criteria defined by TimorTritsch. In the case of fetal heart beat observation, potassium chloride was injected; and in the case of no heart beat detection, methotrexate was used. A follicle aspiration needle was inserted directly into the gestational sac under transvaginal guidance. Results: Although it has been considered to be a risk factor, none of the patients in our study had previous ectopic pregnancy, history of infertility / in vitro fertilization, or cornual pregnancy. One of the patients had a medical history of abortion. In four cases, methotrexate was injected, and three patients received potassium chloride as a local treatment. None of the patients had any complication in the peri- or postoperative period. Conclusion: Using a local approach, the treatment agent can reach the area of the cornual pregnancy in high concentrations. Based on this case series, a local approach seems to be an effective and fertilitysparing method for treating unruptured cornual pregnancies.en_US
dc.identifier.doi10.12669/pjms.344.14600
dc.identifier.endpage1013en_US
dc.identifier.issn1682-024X
dc.identifier.issue4en_US
dc.identifier.pmid30190771en_US
dc.identifier.scopus2-s2.0-85052972096en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1010en_US
dc.identifier.urihttps://doi.org/10.12669/pjms.344.14600
dc.identifier.urihttps://hdl.handle.net/11616/98460
dc.identifier.volume34en_US
dc.identifier.wosWOS:000442047500045en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherProfessional Medical Publicationsen_US
dc.relation.ispartofPakistan Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCornual pregnancyen_US
dc.subjectLocal treatmenten_US
dc.subjectMethotrexateen_US
dc.subjectPotassium chlorideen_US
dc.titleTreatment of unruptured cornual pregnancies by local injections of methotrexate or potassium chloride under transvaginal ultrasonographic guidanceen_US
dc.typeArticleen_US

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