Successful management of a cornual pregnancy with a single high-dose laparoscopic methotrexate injection

ÖNDEROĞLU L. S., SALMAN M. C., ÖZYÜNCÜ Ö., BOZDAĞ G.

GYNECOLOGICAL SURGERY, cilt.3, sa.1, ss.31-33, 2006 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 3 Sayı: 1
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1007/s10397-005-0159-8
  • Dergi Adı: GYNECOLOGICAL SURGERY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sayfa Sayıları: ss.31-33
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Cornual (interstitial) pregnancy, a very rare form of ectopic pregnancy, accounts for 2-4% of all tubal pregnancies in which conception is located in the proximal interstitial portion of the fallopian tube. Cornual resection by laparotomy is generally the preferred method of treatment, although more conservative approaches have also been described. We report a case of cornual pregnancy that was successfully treated with a single dose of 100 mg methotrexate injected into the mass of the ectopic cornual pregnancy. The serum human chorionic gonadotropin (hCG) level decreased to undetectable levels on the 60th post-operative day.