alexa Abstract | Successful Live Birth after Medical and Surgical Treatment of Cesarean Scar Pregnancy: A Case Report
ISSN: 2165-7920

Journal of Clinical Case Reports
Open Access

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Case Report Open Access

Abstract

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 curettage and uterine artery embolization with injection of MTX locally. However, to date no universal guidelines exist regarding its management. A case of successful management of a pregnancy in a previous Cesarean section scar, with the use of systemic methotrexate followed by ultrasound guided evacuation of the uterus is presented, followed by an uncomplicated live birth in the successive pregnancy.

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Author(s): Amerjee A,  Nausheen S and Qureshi R

Keywords

Caesarean scar pregnancy, Methotrexate, Suction evacuation, Medical Case Reports

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