Successful Conservative Treatment of a Cesarean Scar Pregnancy with Systemically Administered Methotrexate and Subsequent Dilatation and Curettage : A Case Report

Cesarean scar pregnancy is a rare type of ectopic pregnancy associated with severe complications such as uterine rupture, uncontrollable bleeding which may lead to hysterectomy, and definitive infertility. Many therapeutic options are available such as Dilatation & Curetage, excision of trophobl...

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Bibliographic Details
Published in:Case reports in obstetrics and gynecology 2012-01, Vol.2012 (2012), p.1-6
Main Authors: Khrouf, Mohamed, Nouira, Kais, Fadhlaoui, Anis, Zhioua, Fethi, Chaker, Anis, Khémiri, Khaled
Format: Article
Language:English
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Case Report
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Summary:Cesarean scar pregnancy is a rare type of ectopic pregnancy associated with severe complications such as uterine rupture, uncontrollable bleeding which may lead to hysterectomy, and definitive infertility. Many therapeutic options are available such as Dilatation & Curetage, excision of trophoblastic tissues using either laparotomy or laparoscopy, systemically administered Methotrexate, and more recently uterine artery embolization. The use of Methotrexate sometimes required laparotomy later because of severe hemorrhage. Through this paper, we demonstrated that viable cesarean scar pregnancy can be managed safely by systemically delivered Methotrexate at the cost of a prolonged followup.
ISSN:2090-6684
2090-6692
DOI:10.1155/2012/248564