A new nonsurgical technique for termination of intrauterine pregnancy associated with large multiple uterine leiomyomas

Buckshee, K; Dhond, Abhay J.

doi:10.1016/0020-7292(92)90334-f

Cited by 10 publications

(5 citation statements)

References 2 publications

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“…Recently, several authors have reported the use of methotrexate and misoprostol to terminate pregnancy. [6][7][8] Creinin and Vittinghoff used misoprostol either alone or in combination with methotrexate up to 56 days from the last menstrual period. 9 They reported that with the combination of methotrexate and misoprostol, 90 percent of their subjects had complete abortions.…”

mentioning

confidence: 99%

Methotrexate and Misoprostol to Terminate Early Pregnancy

Hausknecht

1995

N Engl J Med

155

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confidence: 99%

Methotrexate and Misoprostol to Terminate Early Pregnancy

Hausknecht

1995

N Engl J Med

155

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“…Studies focussing on this mode of treatment are few. Buckshee and Dhond [5] reported successful termination of early intrauterine pregnancy with a huge leiomyoma by intraamniotic and intraplacental MTX [5]. Lui et al compared efficacy and safety of local and systemic MTX in CSE.…”

Section: Discussionmentioning

confidence: 99%

The Successful Saga of a Cesarean Scar Ectopic with High βHCG Level

Rohatgi

Buckshee

Sahni

2015

Journal of Fetal Medicine

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Cesarean scar ectopic (CSE) is a rare lifethreatening condition associated with hemorrhage, uterine rupture, disseminated intravascular coagulation or death during pregnancy. A rampant increase is worrisome. Early diagnosis is critical; awareness and high index of suspicion are essential. We report a 34-year-old woman with two previous cesarean sections, who was diagnosed to have an unruptured, viable CSE with high bHCG level (49,637. 08 mIU/mL). Local as well as systemic methotrexate failed initially. However, success was achieved when modified medical treatment was adopted.

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“…There are a variety of methods by which to induce late TOP, which can include fetal intracardiac injection of other substances (such as a fibrin adhesive [13] or lidocaine [14]), other routes of injection (for example intracranial injection [15] or intraplacental injection of methotrexate [16]), intraumbilical air embolism [17], intra-amniotic digoxin [18], as well as surgical methods (such as radiofrequency ablation and cord occlusion). Whilst we do not expect significant differences in imaging features with different substances injected via an intracardiac route, this was not formally assessed in our study.…”

Section: Discussionmentioning

confidence: 99%

Post-Mortem Magnetic Resonance Imaging Appearances of Feticide in Perinatal Deaths

et al. 2018

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Objective: The aim of this study was to characterise the imaging features seen in fetuses having undergone feticide by intracardiac potassium chloride injection compared to those of non-terminated fetuses at post-mortem magnetic resonance imaging (PMMRI). Methods: A case-control study was performed comparing PMMRI findings between two groups of patients – those having undergone feticide were matched to a control group of miscarried/stillborn fetuses. The groups were matched according to gestational age, weight, and time since death. Two independent readers reviewed the PMMRI for thoracic, abdominal, and musculoskeletal imaging features. The Fishers exact test was conducted for differences between the patient groups. Results: Twenty-six cases of feticide (mean gestation 25 weeks [20–36]) and 75 non-terminated fetuses (mean gestation 26.7 weeks [19–36]) were compared. There was a higher proportion of feticide cases demonstrating pneumothorax (23.1 vs. 1.3%, p = 0.001), haemothorax (42.3 vs. 4%, p = 0.001), pneumopericardium (30.8 vs. 5.3%, p = 0.002), and haemopericardium (34.6 vs. 0%, p = 0.0001). Intracardiac gas and intra-abdominal findings were higher in the feticide group, but the differences were not statistically significant. Conclusion: Characteristic PMMRI features of feticide can help improve reporter confidence in differentiating iatrogenic from physiological/pathological processes.

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A new nonsurgical technique for termination of intrauterine pregnancy associated with large multiple uterine leiomyomas

Cited by 10 publications

References 2 publications

Methotrexate and Misoprostol to Terminate Early Pregnancy

Methotrexate and Misoprostol to Terminate Early Pregnancy

The Successful Saga of a Cesarean Scar Ectopic with High βHCG Level

Post-Mortem Magnetic Resonance Imaging Appearances of Feticide in Perinatal Deaths

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