MEDICINSKI GLASNIK

terosalpingografija koja bi evaluirala konačni
učinak terapije.
U Bosni i Hercegovini cervikalne trudnoće,
koje su inače rijetke, tretiraju se medikamentozno
(12). Međutim, medikamentozno liječenje tubarne
trudnoće, kao češće patološke pojave, nije
uobičajeno. S obzirom da se radi o neagresivnoj,
uspješnoj i jeftinoj terapiji, trebala bi se češće
primjenjivati kod pravilno odabranih slučajeva.
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Extrauterine pregnancy treated
with Metrotrexat
Ljiljana Bilobrk Josipović, Branka Lovrinović,
Anton Galić
Department of Obstetric and Gynecology, Croatian Hospital “Dr
Fra Mato Nikolić “ Nova Bila, Bosnia i Herzegovina
ABSTRACT
Case report
In this report we are describing a case of a patient
whose tubal pregnancy was medicated with
metrotrexat. The patient visited gynecologist
10+1 week after the last period, complaining
about mild pain in the lower abdomen area and
scarce vaginal bleeding. After ultrasound and
biochemical markers examinations the extrauterine
(tubal) pregnancy in the right oviduct was
diagnosed. The initial level of β hCG was 5005
mIU/ml and the size of gestational sac was 51
mm x 47 mm with an embryo 5 mm long. The
patient was successfully cured with one 50 mg
ampule of metrotrexat, intramuscularly applied.
Key words: extrauterine pregnency, metrotrexat,
values of β hCG-a
Original submission: 19 March 2009; Revised submission: 20
April 2009; Accepted: 06 May 2009.;
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