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

• Main Authors: Serdar Başaranoğlu, Ayşegül Deregözü, Elif Ağaçayak, Mehmet Sıddık Evsen, Talip Gül
• Format: Article
• Language: English
• Published: Modestum Publishing LTD 2016-06-01
• Series: Journal of Clinical and Experimental Investigations
• Subjects: heterotopic pregnancy; ectopic pregnancy; methotrexate
• Online Access: http://jceionline.org/upload/sayi/31/JCEI-01315.pdf

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