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

J Clin Exp Invest 2016;7(2):200-202.

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

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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.

Keywords

heterotopic pregnancy, ectopic pregnancy, methotrexate, β-hCG

Citation

Basaranoglu S, Deregözü A, Ağaçayak E, Evsen MS, Gul T. The Success of the Single-Dose Methotrexate Treatment in an Atypical Heterotopic Pregnancy. J Clin Exp Invest. 2016;7(2):200-2. https://doi.org/10.5799/ahinjs.01.2016.02.0597