The Success of the Single-Dose Methotrexate Treatment in an Atypical Heterotopic Pregnancy

Year 2016, , 200 - 202, 16.06.2016

Serdar Başaranoğlu

https://doi.org/10.5799/ahinjs.01.2016.02.0597

Abstract

Heterotopic pregnancy refers to simultaneous presence of intrauterine
and ectopic gestational sacs. Its incidence ex­hibits a rising trend due
to the increased use of assisted reproductive technology (ART). This
paper aims to present a rare case of tubal and cesarean scar heterotopic
pregnancy that occurred following a spontaneous pregnancy. The pa­tient
presenting with delayed menstruation and abdominal-inguinal pain was
evaluated. Transvaginal ultrasonography revealed a gestational sac
located in the scar of a previous cesarean section and in the left tubal
region corresponding to a gestational age of 4 weeks and 5 days. The
patient was hospitalized and informed about conservative and surgi­cal
methods. Then, she was administered a single dose of methotrexate 75 mg
intramuscularly. Post-operative period included ultrasonographic and
laboratory follow-up. In conclusion, it should be remembered that
single-dose systemic methotrexate therapy might constitute an
alternative to surgery in unruptured hemodynamically stable cases. J Clin Exp Invest 2016; 7 (2): 200-202

Keywords

heterotopic pregnancy, ectopic pregnancy, methotrexate, β-hCG

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