Treatment of intra-gestational methotrexate of cesarean scar ectopic pregnancy: A case report
Year 2017,
Volume: 34 Issue: 4, 283 - 285, 10.10.2019
Hasan Ulubaşoğlu
,
Davut Güven
Abstract
Cesarean scar pregnancy is the localization of uterine out of the cavity. There is a variety of treatment methods of cesarean
scar pregnancy. There is not yet a consensus on treatment of scar
pregnancy by using a preferred method. A 28-year-old woman applied to our center with the suspicion of pregnancy.
A cesarean scar pregnancy that had fetal heart beats consistent with 6 weeks +2
days was determined in the area of incision line of uterus. Methotrexate was
injected to the patient with oocyte pick-up needle under transvaginal
ultrasonograph. No complication developed after the
procedure. The patient was discharged in good health from the hospital the next
day and her b hcg levels turned back to normal level.
References
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Year 2017,
Volume: 34 Issue: 4, 283 - 285, 10.10.2019
Hasan Ulubaşoğlu
,
Davut Güven
References
- Chueh, H.Y., Cheng, P.J., Wang, C.W., 2008. Ectopic twin pregnancy in cesrean scar after in vitro fertilization/embryo transfer: case report. Fertil. Steril. 90(5), 2009.e19-e21.
Godin, P.A., Bassil, S., Donnez, J., 1997. An ectopic pregnancy developing in a previous caesarean section scar. Fertil. Steril. 67, 398–400.
- Jurkovic, D., Hillaby, K., Woelfer, B., Lawrence, A., Salim, R., Elson, C.J., 2003. First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment cesarean section scar Ultrasound Obstet. Gynecol. 21, 220 – 227.
- Katarzyna, L., Ermanno, G., 2011. Caesarean scar pregnancy. A review of management options. Curr. Opin. Obstet. Gynecol. 23, 415–421.
- Le, A., Shan, L., Xiao, T., Zhuo, R., Xiong, H., Wang, Z., 2013. Transvaginal surgical treatment of cesarean scar ectopic pregnancy. Arch. Gynecol. Obstet. 287, 791-796.
- Litwicka, K., Greco, E., 2011. Caesarean scar pregnancy: a review of management options. Curr. Opin. Obstet. Gynecol. 23, 415–421.
- Maymon, R., Halperin, R., Mendlovic, S., 2004. Ectopic pregnancies in a Caesarean scar: review of the medical approach to an iatrogenic complication. Hum. Reprod. Update. 10, 515-23.
- Sadeghi, H., Rutherford, T., Rackow, B.W., 2010. Cesarean scar ectopic pregnancy:case series and review of the literature. Am. J. Perinatol. 27, 111-120.
- Rotas, M.A., Haberman, S., Levgur, M., 2006. Cesarean scar ectopic pregnancies etiology, diagnosis and mana-gement. Obstet. Gynecol. 107, 1373-1381.