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Hum. Reprod. Advance Access published online on June 24, 2004
Human Reproduction, doi:10.1093/humrep/deh307
© 2004 by European Society of Human Reproduction and Embryology
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Received January 5, 2004
Accepted April 16, 2004

Case report

Uterine artery embolization for management of interstitial twin ectopic pregnancy: Case report

E. Ophir 1*, J. Singer-Jordan 2, M. Oettinger 1, M. Odeh 1, R. Tendler 1, Y. Feldman 1, V. Fait 1, J. Bornstein 1

1 Department of Obstetrics and Gynecology, Western Galilee Hospital, PO Box 21, Nahariya, 22100, and Rappaport Faculty of Medicine, Technion University, Haifa, Israel
2 Department of Angiography, Western Galilee Hospital, PO Box 21, Nahariya, 22100, and Rappaport Faculty of Medicine, Technion University, Haifa, Israel

* To whom correspondence should be addressed. E-mail: oella{at}naharia.health.gov.il.


  Abstract

Interstitial pregnancy is rare and dangerous variation of ectopic pregnancy. We describe a case of unilateral interstitial viable twin pregnancy treated by selective uterine artery embolization. A 23-year-old women with clinical and ultrasonic diagnosis of viable twin interstitial pregnancy was treated by selective uterine artery embolization after failure of systemic methotrexate treatement. Her serum {beta}-HCG was undetectable 2 months after the procedure and the ultrasound scan 70 days after embolization showed only multiple echogenic spots in the right uterine cornua. This therapeutic modality seems to be effective for conservative management of interstitial ectopic pregnancy, and as a prophylactic measure before surgical intervention to prevent major bleeding.

Keywords: interstitial pregnancy; twins; uterine artery embolization.
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[Abstract] [PDF]


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