CHRONIC ECTOPIC PREGNANCY AFTER CLINICALLY SUCCESSFUL METHOTREXATE TREATMENT OF ECTOPIC PREGNANCY

Persistent ectopic pregnancy, often a sequelae of conservative surgica l procedures, is characterized by a residual trophoblastic activity si te with rising or plateauing beta-human chorionic gonadotropin (hCG) t iters after the initial treatment. Chronic ectopic pregnancy is a diff erent entity which may be seen after expectant management of ectopic p regnancy and contains no active trophoblast with low or absent beta-hC G titers. A rare case with features of a chronic ectopic pregnancy, wh ich followed successful methotrexate medical treatment of a persistent ectopic pregnancy, is presented.