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- W2023169524 abstract "In Brief BACKGROUND: Advanced abdominal pregnancy is a rare, life-threatening condition that presents a number of challenges. CASE: A 29-year-old primigravida with 10 years of secondary infertility and a previous tuboplasty had a 21-week abdominal pregnancy treated with preoperative arterial embolization before laparoscopically assisted fetal delivery. Postoperatively, 4 cycles of methotrexate were administered at 50 mg/m2 intramuscularly every 3 weeks for the retained abdominal placenta. Subsequent spontaneous conception occurred, and a live, full-term infant was delivered by cesarean delivery 17 months later. No adverse sequelae were found during long-term follow-up. CONCLUSION: This report demonstrates successful minimally invasive management of an advanced abdominal pregnancy with a multimodal approach that included preoperative arterial embolization, laparoscopically assisted delivery, and judicious use of postoperative methotrexate. An advanced abdominal pregnancy managed by preoperative arterial embolization, laparoscopically assisted fetal delivery, and postoperative methotrexate resulted in successful subsequent pregnancy and no adverse sequelae." @default.
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- W2023169524 date "2004-05-01" @default.
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- W2023169524 title "Minimally Invasive Management of an Advanced Abdominal Pregnancy" @default.
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- W2023169524 doi "https://doi.org/10.1097/01.aog.0000127946.14387.48" @default.
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