Abstract
Die Behandlung der Extrauteringravidität hat durch die Verbesserung der Diagnostik und durch die Verfeinerung endoskopischer Operationsverfahren eine Entwicklung weg von der Salpingektomie, hin zum organerhaltenden Vorgehen durchlaufen. Als Alternative zur operativen Intervention bestehen darüber hinaus seit einigen Jahren verschiedenste Möglichkeiten der medikamentösen Therapie. Neben einer allgemeinen Übersicht über die konservativen Behandlungsmöglichkeiten wird über 1 Patientin berichtet, bei der es nach laparoskopischer Sicherung einer proximal-isthmischen Schwangerschaft unter systemischer Bahandlung mit Methotrexat zu einer ausgeprägten Peritonitis kam.
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2001
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