Interstitial ectopic pregnancies are very rare, however, they are extremely\ndangerous. Treatment consists of either surgical or medical management.\nThis patient presented with no prior pregnancies, an inappropriately rising\nb-hCG, and eventually had ultrasound findings consistent with interstitial\nectopic pregnancy. She was seen through the Emergency Department and had\nno insurance. She strongly desired to avoid surgery, and was successfully\ngiven a multi-dose regimen of methotrexate. Contraindication to methotrexate\nmanagement includes an inability to follow-up, so a close therapeutic alliance\nwas maintained to enable safe resolution of this case. She has since\nsuccessfully carried an uncomplicated intrauterine pregnancy to term.
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