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[Oral methotrexate in trophoblast seeding after laparoscopically treated tubal pregnancy]
T Römer1, R Lober, L Riethdorf
1Universitäts-Frauenklinik, Enst-Moritz-Arndt-Universität Greifswald.
Abstract:
The atypical course after laparoscopic conservative treatment of tubal pregnancy is described. Routine measurements of the serum HCG levels postoperatively showed, after a short period of decreasing HCG levels, a new increase of HCG values. Under the suspicion of a disseminated intraperitoneal trophoblastic tissue the patient was treated with 20 mg methotrexate q.i.d. per os for 5 days, as a result of which HCG levels returned to normal within a short time.