May 28th, 2018

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Successful Medical Management of Ectopic Pregnancy after Prior Hysterectomy: A Case Report
Authors:  Randy A. McCool, M.D.
BACKGROUND: Though quite rare, pregnancy after hysterectomy has been described in the medical literature. It is advantageous to identify such pregnancies early in their course while the patient is hemodynamically stable. Under such circumstances, medical management with methotrexate may be considered in the treatment of ectopic pregnancy after prior hysterectomy.

CASE: A 39-year-old woman was diagnosed with an ectopic pregnancy 21 months after undergoing laparoscopic supracervical hysterectomy. Treatment was successful using single-dose methotrexate.

CONCLUSION: Ectopic pregnancy after prior hysterectomy, diagnosed early, can be successfully treated using methotrexate therapy.
Keywords:  ectopic pregnancy, hysterectomy, methotrexate
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