Taiwanese Journal of Obstetrics and Gynecology
Volume 47, Issue 4 , Pages 451-453 , December 2008

Conservative Laparoscopy Following Prophylactic Methotrexate for an Unruptured Bilateral Tubal Pregnancy

  • Hsing-Tse Yu

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan
    • ,
  • Hong-Yuan Huang

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan
    • Department of Obstetrics and Gynecology, Chang Gung University School of Medicine, Tao-Yuan, Taiwan
    • Corresponding Author InformationCorrespondence to Dr Hong-Yuan Huang, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 5 Fu-Shin Street, Kweishan, Taoyuan 363, Taiwan
    • ,
  • Chyong-Huey Lai

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan
    • Department of Obstetrics and Gynecology, Chang Gung University School of Medicine, Tao-Yuan, Taiwan
    • ,
  • Yung-Kuei Soong

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan
    • Department of Obstetrics and Gynecology, Chang Gung University School of Medicine, Tao-Yuan, Taiwan

,Accepted 4 January 2008.

References 

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  4. De Graaf FL , Demetroulis C . Bilateral tubal ectopic pregnancy: diagnostic pitfalls . Br J Clin Pract . 1997;51:56–58
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  10. Hajenius PJ , Engelsbel S , Mol BW , et al.   Randomised trial of systemic methotrexate versus laparoscopic salpingostomy in tubal pregnancy . Lancet . 1997;350:774–779
  11. Dias Pereira G, Hajenius PJ, Mol BW, Ankum WM, Hemrika DJ, Bossuyt PM, et al. Fertility outcome after systemic methotrexate and laparoscopic salpingostomy for tubal pregnancy . Lancet . 1999;353:724–725
  12. Marcovici I , Scoccia B . Spontaneous bilateral tubal ectopic pregnancy and failed methotrexate therapy: a case report . Am J Obstet Gynecol . 1997;177:1545–1546
  13. Sommer EM , Reisenberger K , Bogner G , Nagele F . Laparoscopic management of an unrecognized spontaneous bilateral tubal pregnancy . Acta Obstet Gynecol Scand . 2002;81:366–368
  14. Stovall TG , Ling FW , Gray LA . Single-dose methotrexate for treatment of ectopic pregnancy . Obstet Gynecol . 1991;77:754–757
  15. Lipscomb GH , McCord ML , Stovall TG , Huff G , Portera SG , Ling FW . Predictors of success of methotrexate treatment in women with tubal ectopic pregnancies . N Engl J Med . 1999;341:1974–1978
  16. Lundorff P , Hahlin M , Sjoblom P , Lindblom B . Persistent trophoblast after conservative treatment of tubal pregnancy: prediction and detection . Obstet Gynecol . 1991;77:129–133
  17. Hagstrom HG , Hahlin M , Bennegard-Eden B , Sjoblom P , Thorburn J , Lindblom B . Prediction of persistent ectopic pregnancy after laparoscopic salpingostomy . Obstet Gynecol . 1994;84:798–802
  18. Graczykowski JW , Mishell DR . Methotrexate prophylaxis for persistent ectopic pregnancy after conservative treatment by salpingostomy . Obstet Gynecol . 1997;89:118–122

PII: S1028-4559(09)60017-6

doi: 10.1016/S1028-4559(09)60017-6

Taiwanese Journal of Obstetrics and Gynecology
Volume 47, Issue 4 , Pages 451-453 , December 2008

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