Full Text (PDF)
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.
License
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, Volume 7, Issue 2, June 2016, 200-202
https://doi.org/10.5799/ahinjs.01.2016.02.0597
Publication date: 16 Jun 2016
Article Views: 2283
Article Downloads: 1227
Open Access References How to cite this article