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Transvaginal ultrasound-guided aspiration and instillation of hyperosmolar glucose for treatment of unruptured tubal heterotopic pregnancy

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Abstract

Objectives

To report a case of tubal heterotopic pregnancy (HP) treated conservatively with transvaginal ultrasound-guided aspiration and instillation of hyperosmolar glucose.

Methods

Aspiration of the tubal ectopic pregnancy and hyperosmolar glucose instillation was performed with a 16-gauge needle under transvaginal ultrasound guidance.

Results

Unruptured tubal HP with positive cardiac activity was treated successfully without any further interventions, and intrauterine pregnancy has reached full-term without any complications.

Conclusions

Early diagnosis of this life-threatening condition is the key to its successful treatment. Transvaginal ultrasound-guided aspiration and hyperosmolar glucose injection can be safely performed for the treatment of unruptured tubal HP.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey

    Pelin Ocal, Sanli Erkan, Ismail Cepni & Mehmet H. Idil

  2. Kizilelma Caddesi, No: 35/1 Fatih, 34300, Istanbul, Turkey

    Sanli Erkan

Authors
  1. Pelin Ocal
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  2. Sanli Erkan
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  3. Ismail Cepni
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  4. Mehmet H. Idil
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Corresponding author

Correspondence to Sanli Erkan.

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Ocal, P., Erkan, S., Cepni, I. et al. Transvaginal ultrasound-guided aspiration and instillation of hyperosmolar glucose for treatment of unruptured tubal heterotopic pregnancy. Arch Gynecol Obstet 276, 281–283 (2007). https://doi.org/10.1007/s00404-007-0343-3

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  • DOI: https://doi.org/10.1007/s00404-007-0343-3

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