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

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dc.contributor.authorTuncay, Görkem
dc.contributor.authorKaraer, Abdullah
dc.contributor.authorCoşkun, Ebru İnci
dc.contributor.authorMelekoğlu, Rauf
dc.date.accessioned2019-07-30T06:21:25Z
dc.date.available2019-07-30T06:21:25Z
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.citationTuncay, G. Karaer, A. Coşkun, Eİ. Melekoğlu, R. (2018). Treatment of unruptured cornual pregnancies by local injections of methotrexate or potassium chloride under transvaginal ultrasonographic guidance. Cilt:34 Sayı:4, 1010-1013 ss.en_US
dc.identifier.doi10.12669/pjms.344.14600en_US
dc.identifier.endpage1013en_US
dc.identifier.issue4en_US
dc.identifier.startpage1010en_US
dc.identifier.urihttps://hdl.handle.net/11616/13062
dc.identifier.volume34en_US
dc.language.isoenen_US
dc.publisherProfessıonal medıcal publıcatıons, panorama centre, rm 522, 5th floor, bldg 2, raja ghazanfar alı rd, po box 8766, saddar, karachı 00000, pakıstanen_US
dc.relation.ispartofPakıstan journal of medıcal scıencesen_US
dc.rightsinfo:eu-repo/semantics/restrictedAccessen_US
dc.subjectEarly Interstıtıal Pregnancyen_US
dc.subjectEctopıc Pregnancyen_US
dc.subjectSystemıc Methotrexateen_US
dc.subjectHeterotopıc Pregnancyen_US
dc.subjectNonsurgıcal Managementen_US
dc.subjectGestatıonal Sacen_US
dc.subjectSurgeryen_US
dc.subjectAspıratıonen_US
dc.subjectOutcomesen_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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