Rectal Ectopic Pregnancy Managed Successfully By Minimally Invasive Treatment Using Local Methotrexate Injection and Systemic Methotrexate Administration: An Extremely Rare Case at Tu Du Hospital in Vietnam and literature review

Rectal Ectopic Pregnancy, also known as REP, is one of very rare forms of ectopic pregnancy.
An increase in maternal mortality is a strong indicator of pregnancy. An
It is difficult to diagnose unruptured REP early and it should be managed.
Based on the clinical situation, they may be customized. The current situation is due to the scarcity
Until today, there aren’t any practical guidelines to help you choose the right treatment for your data.
This is a rare case that we have seen at our maternity center. A 30-year-old woman
Pregnant woman (G2P2) reported abdominal pain and irregular menstrual cycles. These are the following
serum beta-human chorionic gonadotropin (β-hCG) levels and ultrasonic exams, a diagnosis
It was determined that the patient had an ovarian ectopic baby. Explanatory procedures were performed on the patient.
Laparoscopy is used to confirm diagnosis and provide treatment. On the 5th
day-postoperative course, her β-hCG level continued to increase every 48 hours. By
A gestational sac adherent is magnetic resonance imaging, pelvic ultrasonography and pelvic imaging.
The rectal wall was clearly visible. Counselling with multidisciplinary professionals was completed.
team, a minimally invasive laposcopy with methotrexate injection followed by a local infusion
Under ultrasound guidance for gestational Sac Access and a Systemic Multidose Methotrexate
regimen were indicated. In result, her serum β-hCG declined substantially. However,
Extra-uterine pregnancy with the rectum is rare. Early
A proper management and diagnosis can help to avoid fatal complications.
Be sure to seek professional advice. Conservative treatment with minimally invasive intervention
In appropriate conditions, it could be an option. Additional information is required
This is a summary of the occult entity.