Hak-Soon Kim

Successful Laparoscopic Removal of Huge Ovarian Cysts

Laparoscopic management of huge adnexal masses is controversial mainly because of the fear of finding a malignancy and because of technical difficulties. We successfully removed two huge ovarian cysts using only an operative laparoscope, a 10-mm infraumbilical, and three 5-mm suprapubic cannulas. We believe that minimally invasive surgery can be performed safely and effectively in carefully selected patients with extremely large, abdominopelvic masses.

Triplet cervical pregnancy treated with intraamniotic methotrexate.

BACKGROUND Multifetal cervical pregnancy is very rare. We are reporting a case of a triplet cervical pregnancy that was treated with direct intraamniotic instillation of methotrexate. CASE A young multiparous woman was diagnosed as having three gestational sacs in her uterine cervix with embryonic cardiac activity observed within one of the sacs. She became pregnant by natural ovulation and coitus. After initial failure with a single-dose intramuscular injection, the patient was successfully treated with an intraamniotic methotrexate injection under the guidance of transvaginal ultrasonography. Her reproductive capability was preserved. CONCLUSION Direct intraamniotic injection can be considered as treatment for multifetal cervical pregnancy.