Local methotrexate injection: A nonsurgical treatment of ectopic pregnancy

Mordechai Pansky, Ian Bukovsky, Abraham Golan*, Rami Langer, David Schneider, Shlomo Arieli, Eliahu Caspi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

86 Scopus citations

Abstract

Twenty seven patients with unruptured tubal pregnancy were selected for nonsurgical treatment with the use of one injection of 12.5 mg of methotrexate into the ectopic site at laparoscopy. No adverse reactions were observed. In three patients (11%), a laparotomy was performed because of rising β-human chorionic gonadotropin titers. In the other patients, serum β-human chorionic gonadotropin levels decreased to the nonpregnant range with no further intervention, and the patients recovered uneventfully. This method is suggested as an alternative to surgery in selected cases of early unruptured tubal pregnancy.

Original languageEnglish
Pages (from-to)393-396
Number of pages4
JournalAmerican Journal of Obstetrics and Gynecology
Volume161
Issue number2
DOIs
StatePublished - Aug 1989

Keywords

  • Local methotrexate
  • tubal pregnancy

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