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