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Case 66 - A 24-Year-Old G2P1 Woman with an Eight-Week Interstitial Ectopic Pregnancy

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 24-year-old gravida 2, para 1001 with a last menstrual period eight weeks ago presents to the emergency department complaining of vaginal spotting and cramping pain for the past three days that is increasing in intensity. She took a pregnancy test two weeks ago that was positive. She denies any significant past medical or surgical history, is not currently taking any medications and has no known medication allergies.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 200 - 202
Publisher: Cambridge University Press
Print publication year: 2021

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References

Moawad, NS, Mahajan, ST, Moniz, MH, Taylor, SE, Hurd, WW. Current diagnosis and treatment of interstitial pregnancy. Am J Obstet Gynecol 2010; 202(1): 1529.CrossRefGoogle ScholarPubMed
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Practice Committee of American Society for Reproductive Medicine. Medical treatment of ectopic pregnancy: a committee opinion. Fertil Steril 2013; 100(3): 638–44.Google Scholar
ACOG Practice Bulletin No. 193: Tubal ectopic pregnancy. Obstet Gynecol 2018; 131(3): e91103.CrossRefGoogle Scholar
Dolinko, AV, Vrees, RA, Frishman, GN. Non-tubal ectopic pregnancies: overview and treatment via local injection. J Minim Invasive Gynecol 2018; 25(2): 287–96.CrossRefGoogle ScholarPubMed
Panelli, DM, Phillips, CH, Brady, PC. Incidence, diagnosis and management of tubal and nontubal ectopic pregnancies: a review. Fertil Res Pract 2015; 1: 15.CrossRefGoogle ScholarPubMed
Cucinella, G, Calagna, G, Rotolo, S, et al. Interstitial pregnancy: a ‘road map’ of surgical treatment based on a systematic review of the literature. Gynecol Obstet Invest 2014; 78(3): 141–9.CrossRefGoogle ScholarPubMed

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