Cesarean scar pregnancy treated by curettage and aspiration guided by laparoscopy.
نویسندگان
چکیده
Pregnancy in a cesarean scar is the rarest form of an ectopic pregnancy. The treatment for cesarean scar pregnancy mainly includes systemic methotrexate and uterine artery embolization. Here, we reported a case of cesarean scar pregnancy treated by curettage and aspiration guided by laparoscopy. The treatment plan included two phases. Three days after a combination of methotrexate and mifepristone was administered, the gestational sac was removed under laparoscopy, which enabled a successful treatment for the unruptured ectopic pregnancy in a previous cesarean scar and made it possible to preserve the reproductive capability of the patient.
منابع مشابه
Successful conservative treatment of a cesarean scar pregnancy with uterine artery embolization.
Ectopic pregnancy developing in a previous Cesarean section scar is rare and is associated with catastrophic complications, such as uterine rupture and uncontrollable bleeding, which may lead to loss of the uterus. The operative treatments that have been reported for cesarean scar pregnancy are dilatation and curettage and excision of trophoblastic tissues using either laparotomy or laparoscopy...
متن کاملScar Pregnancy- A Tertiary Care Experience and Review of Literature
Incidence of Cesarean scar pregnancy is on rise due to increasing incidence of caesarean section. It is rare type of ectopic pregnancy associated with severe complications such as sever hemorrhage, uterine rupture, loss of fertility.Therapeutic options include, medical management with methotrexate, Ultrasuond guided injection of potassium chloride, Dilatation & Curetage, laparoscopy laparotomyf...
متن کاملCurettage after uterine artery embolization combined with methotrexate treatment for caesarean scar pregnancy
In the present study, we evaluated the diagnosis and management modalities of caesarean scar pregnancy (CSP). Thirty patients diagnosed with CSP were retrospectively studied between February, 2010 and February, 2012. Twenty-five patients were offered prophylactic uterine artery embolization (UAE) and methotrexate (MTX) prior to uterine suction curettage. Five cases were referred from other hosp...
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Cesarean Scar Pregnancy (CSP) is a rare type of ectopic pregnancy needing a high index of suspicion to make an early diagnosis. Recent literature describes treatment of CSP using methotrexate (MTX). Surgical options include hysteroscopic coagulation of vessels at implantation site, laparoscopic removal of gestational sac, laparotomy with wedge resection of pregnancy; ultrasound guided suction c...
متن کاملSuccessful 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 trophoblastic tissues using either laparotomy or laparoscopy, systemically administered Methotrexate, and mor...
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عنوان ژورنال:
- Therapeutics and clinical risk management
دوره 11 شماره
صفحات -
تاریخ انتشار 2015