The Success of the Single-Dose Methotrexate Treatment in an Atypical Heterotopic Pregnancy
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Tarih
2016
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Aydın ECE
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
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
Açıklama
Anahtar Kelimeler
heterotopic pregnancy, ectopic pregnancy, methotrexate, ß-hCG
Kaynak
Journal of Clinical and Experimental Investigations
WoS Q Değeri
Scopus Q Değeri
Cilt
7
Sayı
2
