Interstitial pregnancy- drug treatment

• Main Authors: M. Mehić, K. Drljević, N. Ribić
• Format: Article
• Language: English
• Published: Medical Association of Zenica-Doboj Canton 2007-02-01
• Series: Medicinski Glasnik
• Subjects: interstitial pregnancy; nonsurgical treatment; metotreksat
• Online Access: http://www.ljkzedo.com.ba/medglasnik/vol41/M6_11.pdf

Interstitial pregnancy represents a rare and very dangerous localization of ecoptic pregnancy, which, if unrecognized, can cause heavy bleeding and fatal outcome. Drug treatment by metotreksat has been successfully applied in treatment of this disease. Two cases of interstitial pregnancy have been shown, and criteria for application of metotreksat were an early diagnosed disease, asymptomatic and heamodynamic stable patient, - HCG 5000 i.u./L. Metotreksat was applied systematicaly in single-dose of 1mg/kg (case 1), and 5 daily doses of 15 mg (case 2). Applying a strict criteria for drug treatment, and careful clinical and labaratorical monitoring, a full therapical benefit had been achieved in both cases and there was no need for a surgical treatment.