Management of the Ectopic Pregnancy Located at the Level of the Uterine Scar
Phoenix Medical Centre, University of Craiova, Craiova, Romania.
- *Corresponding Author:
- Sidonia Maria Maria Saceanu
Phoenix Medical Centre
University of Craiova
Obstetrics and Gynecology
E-mail: [email protected]
Received Date: June 23, 2016; Accepted Date: July 06, 2016; Published Date: July 13, 2016
Citation: Sidonia SM, Vaduva C, Comanescu A, Veliscu A, Comanescu C, et al. (2016) Management of the Ectopic Pregnancy Located at the Level of the Uterine Scar. J Fertil In Vitro IVF Worldw Reprod Med Genet Stem Cell Biol 4:188. doi:10.4172/2375-4508.1000188
Copyright: © 2016 Sidonia SM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The ectopic pregnancy located on an uterine scar is basically defined as implantation of the gestational sac at the level of the fibrous tissue of a uterine scar. The incidence of this pathology varies a lot, it can reach up to 1 case in 2000 ectopic pregnancies. It is expected that the incidence will increase. In the case of ectopic pregnancy, there were many therapeutic, medications or surgical (radical or conservative) options.
Case report: We are presenting a prospective study conducted over a period of 26 months from July 2012 to September 2014 in Craiova Emergency County Hospital. This article reports 2 cases diagnosed with ectopic Pregnancy Located at the Level of the Uterine scar. The first case is of a 26 year old patient, 4 pregnancies, 1 birth, who came to the Gynaecology practice due to a 6 week amenorrhoea, pelvic pain, low vaginal bleeding. Following the discussion with the patient, the conservative drug therapy was initiated, namely she was given methotrexate 50 mg/m2. The patient showed no side effects after the methotrexate. The second case is of a 31 year old patient, 2 pregnancies, 1 birth, who came to the gynaecology practice due to a 4-5 week amenorrhoea, pelvic pain, vaginal bleeding. Following the discussion with the patient, the decision was made to conduct the haemostatic and evacuation uterine curettage under transrectal ultrasound control in order to minimise the risk of perforation. The uterine curettage was performed in the classic way. No complications were reported during the procedure or in the recovery period.
Conclusion: Ectopic pregnancy located in the uterine trance can be successfully treated with medicine, but it is preferable that in the case of patients who still want to have a baby, the trance to be repaired by means of surgery to minimize the risks and a recurrence of this pathology.