Two adolescents with ectopic pregnancies: Experience with methotrexate

Pediatric Emergency Care

Volumn 22, Issue 7, 2006, Pages 497-499

  Waseem, Muhammad ^a   Gernsheimer, Joel ^a   Perales, Orlando ^a  

^a LINCOLN MEDICAL AND MENTAL HEALTH CENTER   (United States)

Author keywords

Ectopic pregnancy; Methotrexate; Pregnancy in adolescents

Indexed keywords

CHORIONIC GONADOTROPIN BETA SUBUNIT; METHOTREXATE;

ADOLESCENT; ADOLESCENT PREGNANCY; ANAMNESIS; ARTICLE; CASE REPORT; CLINICAL FEATURE; DIAGNOSTIC APPROACH ROUTE; DIAGNOSTIC IMAGING; DIAGNOSTIC TEST; DISEASE COURSE; ECTOPIC PREGNANCY; FEMALE; FLANK PAIN; HORMONE BLOOD LEVEL; HORMONE DETERMINATION; HOSPITAL ADMISSION; HUMAN; LABORATORY TEST; MEDICAL EXAMINATION; PREGNANCY TEST; THERAPY EFFECT; TRANSVAGINAL ECHOGRAPHY; TREATMENT OUTCOME; TREATMENT RESPONSE; URINALYSIS;

ABORTIFACIENT AGENTS, NONSTEROIDAL; ADOLESCENT; FEMALE; HUMANS; METHOTREXATE; PREGNANCY; PREGNANCY, ECTOPIC;

EID: 33746592987     PISSN: 07495161     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.pec.0000227384.46143.69     Document Type: Article

References (19)

1. Mollen CJ, Pletcher J, Lavelle J. Emergency department diagnosis and management of teen pregnancy. Clin Pediatr Emerg Med. 2003;4(1):58-68.
2. Jermy K, Thomas J, Doo A, Bourne T. The conservative management of interstitial pregnancy. Br J Obstet Gynecol. 2004;111(11):1283-1288.
3. Nederlof KP, Lawson HW, Saftlas AF, et al. Ectopic pregnancy surveillance - United States, 1970-1987. MMWR Morb Mortal Wkly Rep. 1990;39:9-17.
4. Goldner TE, Lawson HW, Xia Z, et al. Surveillance for ectopic pregnancy - United States, 1970-1989. MMWR CDC Surveill Summ. 1993;42(6):73-85.
5. Fylstra DL. Tubal pregnancy: a review of current diagnosis and treatment. Obstet Gynecol Surv. 1999;54:138-146.
6. Kaplan BC, Dart RG, Moskos M, et al. Ectopic pregnancy: prospective study with improved diagnostic accuracy. Ann Emerg Med. 1996;28:10-17.
7. Brennan DF. Ectopic pregnancy - part I: clinical and laboratory diagnosis. Acad Emerg Med. 1995;2:1081-1089.
8. Morlock RJ, Lafata JE, Eisenstein D. Cost effectiveness of single dose methotrexate compared with laparoscopic treatment of ectopic pregnancy. Obstet Gynecol. 2000;95:407-412.
9. Sowtwe MC, Farquhar CM, Gudex G. An economic evaluation of single dose systemic methotrexate and laparoscopic surgery for the treatment of unruptured ectopic pregnancy. BJOG. 2001;108:204-212.
10. Tanaka T, Hayashi H, Kutsuzawa T, et al. Treatment of interstitial ectopic pregnancy with methotrexate: report of a successful case. Fertil Steril. 1982;37:851-852.
11. Carson SA, Buster JE. Ectopic pregnancy. N Engl JMed. 1993;329:1174.
12. Ory SJ, Villanueva AI, Sand PK, et al. Conservative treatment of ectopic pregnancy with methotrexate. Am J Obstet Gynecol. 1986;154:1299-1306.
13. McCord ML, Muram D, Lipscomb GH, et al. Methotrexate therapy for ectopic pregnancy in adolescents. J Pediatr Adolesc Gynecol. 1996;9(2):71-73.
14. Sand PK, Stubblefield PA, Ory SJ. Methotrexate inhibition of normal trophoblasts in vitro. Am J Obstet Gynecol. 1986;155:324.
15. Stovall TG, Ling FW. Single dose methotrexate: An expanded clinical trial. Am J Obstet Gynecol. 1993;168:1759-1765.
16. Barnhart K, Coutifaris C, Esposito M. The Pharmacology of methotrexate. Expert Opin Pharmacother. 2001;2(3):409-417.
17. Lipscomb GH, Bran D, McCord ML, et al. Analysis of 315 ectopic pregnancies treated with single-dose methotrexate. Am J Obstet Gynecol. 1998;178:1354.
18. Della-Giustina D. Ectopic pregnancy. Emerg Med Clin North Am. 2003;21(3):565-584.
19. Fylstra DL. Early diagnosis of ectopic pregnancy and treatment with methotrexate. J S C Med Assoc. 1999;95(2):59-63.