Successful treatment of cornual pregnancy with 1-day high-dose methotrexate regimen and folinic acid rescue

Gynecol Obstet Invest. 1993;35(4):243-4. doi: 10.1159/000292709.

Abstract

This report describes a woman with a cornual pregnancy, documented by laparoscopy and ultrasonography, who was successfully treated with a 1-day high-dose methotrexate regimen and folinic acid rescue. The serum beta-hCG level was 2,260 and increased to 3,060 IU/l on the 5th day after treatment before it fell precipitously to below 250 IU/l 15 days after methotrexate treatment. No side effects were experienced by the patient.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Chorionic Gonadotropin / blood
  • Chorionic Gonadotropin, beta Subunit, Human
  • Female
  • Humans
  • Leucovorin / administration & dosage
  • Leucovorin / therapeutic use*
  • Methotrexate / administration & dosage
  • Methotrexate / therapeutic use*
  • Peptide Fragments / blood
  • Pregnancy
  • Pregnancy, Tubal / blood
  • Pregnancy, Tubal / diagnostic imaging
  • Pregnancy, Tubal / drug therapy*
  • Ultrasonography

Substances

  • Chorionic Gonadotropin
  • Chorionic Gonadotropin, beta Subunit, Human
  • Peptide Fragments
  • Leucovorin
  • Methotrexate