https://scholars.lib.ntu.edu.tw/handle/123456789/550220
標題: | Severe intra-abdominal bleeding from neglected omental implantation of ectopic tissue after methotrexate treatment for persistent ectopic pregnancy | 作者: | Wu M.-C. Huang W.-C. HO-HSIUNG LIN Hsiao S.-M. |
公開日期: | 2011 | 出版社: | Elsevier Inc. | 卷: | 95 | 期: | 7 | 起(迄)頁: | 2435.e1-3 | 來源出版物: | Fertility and Sterility | 摘要: | Objective: To describe a case of severe intra-abdominal bleeding from omental implants after laparoscopic linear salpingostomy for ectopic pregnancy (EP). Design: Case report. Setting: A medical center. Patient(s): A 27-year-old woman, presenting 15 days after methotrexate (MTX) treatment for persistent EP (35 days after laparoscopic linear salpingostomy for EP). Intervention(s): Partial omentectomy. Main Outcome Measure(s): Serial β-hCG levels after partial omentectomy. Result(s): Histopathologic examination confirmed omental pregnancy. Her β-hCG levels decreased rapidly from 1,673 mIU/mL to 1.35 mIU/mL within 14 days after partial omentectomy. Conclusion(s): Persistent EP after laparoscopic linear salpingostomy can occur in the omentum; meticulous clinical follow-up should be performed, especially when IM MTX injection was used as the salvage treatment for persistent EP. ? 2011 by American Society for Reproductive Medicine. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-79956338340&doi=10.1016%2fj.fertnstert.2011.01.165&partnerID=40&md5=644e761e84430997f148b8225a5caaa5 https://scholars.lib.ntu.edu.tw/handle/123456789/550220 |
ISSN: | 0015-0282 | DOI: | 10.1016/j.fertnstert.2011.01.165 | SDG/關鍵字: | chorionic gonadotropin beta subunit; methotrexate; abdominal bleeding; adult; amenorrhea; article; case report; ectopic pregnancy; female; hemorrhagic shock; histopathology; human; human tissue; laparoscopic surgery; lower abdominal pain; omentectomy; omentum implant; outcome assessment; priority journal; salpingostomy |
顯示於: | 醫學系 |
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