TITLE:
Interstitial Ectopic Pregnancy Treated with Multi-Dose Methotrexate Protocol
AUTHORS:
Leah Roberts, Arleen Ayala-Crespo, Juan Diaz Quinones
KEYWORDS:
Interstitial Pregnancy, Ectopic Pregnancy, Methotrexate
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.11,
November
19,
2019
ABSTRACT: Interstitial ectopic pregnancies are very rare, however, they are
extremely dangerous. Treatment consists of either surgical or medical
management. This patient presented with no prior pregnancies, an
inappropriately rising b-hCG, and eventually had
ultrasound findings consistent with interstitial ectopic pregnancy. She was
seen through the Emergency Department and had no insurance. She strongly
desired to avoid surgery, and was successfully given a multi-dose regimen of
methotrexate. Contraindication to methotrexate management includes an inability to
follow-up, so a close therapeutic alliance was maintained to enable safe
resolution of this case. She has since successfully carried an uncomplicated
intrauterine pregnancy to term.