The Success of the Single-Dose Methotrexate Treatment in an Atypical Heterotopic Pregnancy
Serdar Basaranoglu, Ayşegül Deregözü, Elif Ağaçayak 1 * , Mehmet Sıddık Evsen, Talip Gul
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1 Dicle Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum AD, Diyarbakır, Turkey* Corresponding Author


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.


This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

J Clin Exp Invest, 2016, Volume 7, Issue 2, 200-202

Publication date: 16 Jun 2016

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Article Downloads: 970

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