title: [Successful drug therapy of persistent ectopic pregnancy after tube-saving operation].
abstract: We report on a 29-year old woman, gravida 1, para 0, who complained, after 6 weeks of amenorrhoea, of vaginal bleeding and acute pain in the lower left abdomen. A non-ruptured left ampullary tubal pregnancy was recognised at diagnostic laparoscopy and removed by tube-preserving surgery. Subsequently, serum human chorionic gonadotropin (hCG) was quantified every two days; a rising hCG concentration confirmed a persistent ectopic gestation in the patient. 12 days after conservative laparoscopic surgery, treatment with methotrexate (1 mg/kg intramuscularly a day) during 4 days was initiated. After another brief rise, the hCG concentration dropped continuously down and was no longer detectable after 2 months.
authors.affiliation: Gynäkologische und geburtshilfliche Abteilung, Regionalspital Surselva, Ilanz, Schweiz.
authors.forename: M
authors.initials: M
authors.lastname: Riederer
authors.forename: L
authors.initials: L
authors.lastname: Gulik
mesh_terms: D000328:Adult; D006063:Chorionic Gonadotropin / Q000097:blood; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007273:Injections, Intramuscular; D010535:Laparoscopy; D008727:Methotrexate / Q000008:administration & dosage* / Q000009:adverse effects; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000188:drug therapy* / Q000601:surgery; D012489:Salpingostomy
chemical_list: D006063:Chorionic Gonadotropin; D008727:Methotrexate
vernacular_title: Erfolgreiche medikamentöse Therapie einer persistierenden EUG nach tubenerhaltender Operation.