INTERSTITIAL PREGNANCY MANAGED MEDICALLY - A CASE-REPORT

BACKGROUND: Interstitial pregnancies are often associated with signifi cant morbidity. The surgical treatment of such ectopic gestations ofte n requires laparotomy and cornual resection, thus obliterating tubal a nd uterine continuity. Methotrexate has been shown to be 94% successfu l in the management of tubally implanted ectopic gestations, but few r eports describe its use in interstitial pregnancies. CASE: An 18-year- old woman who presented with an asymptomatic interstitial pregnancy wa s treated successfully with intramuscular methotrexate. Laparotomy and cornual resection were avoided. No adverse effects were noted. CONCLU SION: Interstitial pregnancies can be treated successfully with intram uscular methotrexate.