Conservative therapy of interstitial pregnancy in deep infiltrative endometriosis

Armine R. Khachaturyan; Maria I. Yarmolinskaya; Anna A. Tsypurdeyeva; Eduard N. Popov; Alexandra I. Rudikova

doi:10.17816/JOWD69577-86

Journal of obstetrics and women's diseases ›› 2020, Vol. 69 ›› Issue (5) : 77 -86. DOI: 10.17816/JOWD69577-86

Original study articles

research-article

Conservative therapy of interstitial pregnancy in deep infiltrative endometriosis

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The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott

Saint Petersburg State University

North-Western State Medical University named after I.I. Mechnikov

Saint Petersburg State University

AVA-PETER Ltd.

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott

MD, PhD, Senior Researcher. The Department of Gynecology and Endocrinology; Associate Professor. The Department of Obstetrics, Gynecology, and Reproductive Sciences, the Faculty of Medicine

MD, PhD, DSci (Medicine), Professor, Professor of the Russian Academy of Sciences, Head of the Department of Gynecology and Endocrinology, Head of the Diagnostics and Treatment of Endometriosis Center; Professor. The Department of Obstetrics and Gynecology

MD, PhD, Head of the Department of Gynecology with the Operating Unit; Associate Professor. The Department of Obstetrics, Gynecology, and Reproductive Sciences, the Faculty of Medicine

MD, Head of the Department of Operative Gynecology

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Abstract

This article summarizes data on the prevalence, risk factors and the role of external genital endometriosis in the development of ectopic pregnancy. The existing algorithms for the use of conservative therapy of ectopic pregnancy of rare localizations are discussed. The authors presented a clinical case of using methotrexate in the treatment of a patient with infiltrative endometriosis and trophoblast persistence after laparoscopic removal of interstitial tubal pregnancy.

Keywords

ectopic pregnancy / interstitial tubal pregnancy / external genital endometriosis / methotrexate

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Armine R. Khachaturyan, Maria I. Yarmolinskaya, Anna A. Tsypurdeyeva, Eduard N. Popov, Alexandra I. Rudikova. Conservative therapy of interstitial pregnancy in deep infiltrative endometriosis. Journal of obstetrics and women's diseases, 2020, 69(5): 77-86 DOI:10.17816/JOWD69577-86