Penggunaan Metotreksat dalam Pengelolaan Plasenta In Situ pada Kehamilan Abdominal: Laporan Kasus

Zulmaeta zulmaeta (KJFD/KSM Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Riau/ Rumah Sakit Umum Daerah Arifin Achmad Provinsi Riau, Indonesia)
Dhini Novri (KJFD/KSM Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Riau/ Rumah Sakit Umum Daerah Arifin Achmad Provinsi Riau, Indonesia)

Jurnal Ilmu Kedokteran (Journal of Medical Science)
Vol 17, No 2 (2023): Jurnal Ilmu Kedokteran

Woman, 33 years old, G6P5A0L5, diagnosed as acute abdomen due to rupture of 20-21 weeks abdominal pregnancy. The placenta is seen implanted in the lateral wall of the peritoneum, was decided to be left. On the 5th day, an ultrasound examination was performed. The size of the placenta was 6.59 x 9 x 6.86 cm. Follow-up was carried out at the Outpatient Clinic periodically for one year for the administration of methotrexate regimens, follow-up of beta-HCG levels, and follow-up of placental size. After one year, there was regression of placental up to 80% and beta-HCG was no longer detected.