A Ruptured Ectopic Pregnancy Without Sustained Bleeding After Administration of Methotrexate

Abstract

Background: Ectopic pregnancy, in which the gestational sac is outside the uterus, is the most common life-threatening emergency in early pregnancy. It affects approximately 2% of all pregnancies. Case Report: This article presents a case of ectopic pregnancy, treated with methotrexate, which failed medical management, and was noted to have trophoblastic tissue extruding from the midampullary portion of the fallopian tube, without associated hemorrhage. Conclusions: This underscores the 15%–20% failure rate with methotrexate and its potential risks, including tubal rupture. (J GYNECOL SURG 25:157)