Rupture of ectopic pregnancy implanted in the bladder

A 34‐year‐old woman was diagnosed by ultrasound with a six‐week ectopic pregnancy with implantation of the gestational sac in the bladder wall. She was initially treated with methotrexate 50 mg/m2 i.m. Although a 22% reduction in the levels of beta‐hCG was observed at first, there was a rupture of g...

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Bibliographic Details
Published in:International journal of urology 2006-07, Vol.13 (7), p.1007-1008
Main Authors: TRUZZI, JOSE CARLOS, LIMA, HUDSON, NUNES, EDUARDO CAPATTI, SADI, MARCUS
Format: Article
Language:English
Subjects:
Adult
bladder
Cystectomy
Cystoscopy
Diagnosis, Differential
ectopic pregnancy
Female
Humans
medical treatment
Pregnancy
Pregnancy, Ectopic - diagnosis
Pregnancy, Ectopic - surgery
Rupture, Spontaneous
Tomography, X-Ray Computed
Urinary Bladder
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Summary:A 34‐year‐old woman was diagnosed by ultrasound with a six‐week ectopic pregnancy with implantation of the gestational sac in the bladder wall. She was initially treated with methotrexate 50 mg/m2 i.m. Although a 22% reduction in the levels of beta‐hCG was observed at first, there was a rupture of gestational sac. The patient underwent an emergency laparotomy with a resulting partial cystectomy, and made an uneventful recovery.
ISSN:0919-8172
1442-2042
DOI:10.1111/j.1442-2042.2006.01461.x