Abstract

MARTINEZ CAMILO, Rodolfo Valentín; PEREZ MARTINEZ, Marina  and  TORRIENTE HERNANDEZ, Beatríz. Ectopic cervical pregnancy treated with methotrexate: A case report. Rev Cubana Obstet Ginecol [online]. 2000, vol.26, n.2, pp. 87-90. ISSN 1561-3062.

The case of a patient with ectopic cervical pregnancy that was systematically administered methotrexate as an alternative to surgical treatment is presented. Drug therapy consisted in the administration of 4 doses of. 50 mg of methotrexate by endovenous route every other day. Patients received folic acid at doses of 1 tablet of 500 mg every 12 hours when methotrexate was not administered. The case was controlled with evolutive peripheral plates and ultrasonography. The destruction of pregnancy was confirmed by histological results. It is considered that methotrexate may be used as a conservative treatment in ectopic cervical pregnancy. Ectopic pregnancy is a very important affection in Gynecology,¹ and it is an entity where the fecundated ovum is not implanted in the uterine cavity but in another site.² Cervical pregnancy is a rare form of ectopic pregnancy, in which the egg is implanted in the cervical canal and causes its distension as it grows.^{3, 4} Painless hemorrhage is its habitual clinical characteristic⁵ and on the physical examination it is observed a very vascularized hypertrophic cervix with a tissue that surpasses the external orifice.⁶ Ultrasonography may be used as a useful complementary diagnostic tool to show directly the presence of a gestational sac.

Keywords : PREGNANCY, ECTOPIC [therapy]; METHOTREXATE [drug therapy].

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