TREATMENT OF UNRUPTURED INTERSTITIAL PREGNANCY WITH SINGLE DOSE LAPAROSCOPIC METHOTREXATE INJECTION: CASE REPORT
Intissar BENZINA*, Sarah Talib1, Aziz SLAOUI, Yassine Edahri, Najia ZERAIDI, Aziz BAYDADA and Aicha KHARBACH
ABSTRACT
Background: Interstitial pregnancy is an uncommon form of ectopic pregnancy. Diagnosis and treatment are challenging and constitute a medical emergency. Resection by laparotomy is the preferred method of treatment, although early diagnosis aided by ultrasound or laparoscopy may help to contribute towards effective conservative management; this includes in situ Methotrexate injection. Case presentation: We report an uncommon case of interstitial pregnancy that was successfully treated with a single dose of 100 mg methotrexate injected into the mass with subsequent ultrasound and serum beta human chorionic gonadotropin monitoring. Conclusion: Interstitial pregnancy is an ectopic pregnancy with high hemorrhagic risk, requiring early diagnosis which could lead to conservative treatment reducing the potential consequences on fertility.
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