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Azra Amerjee

Azra Amerjee

Aga Khan University and Hospital, Pakistan

Title: Controversies in the management of a live caesarean scar pregnancy: A Case report

Biography

Azra Amerjee has graduated from Bombay University in 1988. She pursued postgraduate training in Obs/Gynae in Pakistan and obtained Fellowship from College of Physicians and Surgeons (CPSP), Pakistan in 2004. After doing specialization in Obs/Gynae, she worked as full time Consultant at Lady Dufferin Hospital, a leading hospital in Karachi and as a Faculty member at Jinnah Medical and Dental College for seven years. Currently she is working as a full time Consultant and Faculty member at the Aga Khan University Hospital (AKUH), Karachi, which is an internationally renowned hospital. She has a special interest in Reproductive Medicine which she intends to pursue further. Besides her efforts in achieving clinical excellence, she also has a passion for Medical Education and has successfully completed the theoretical component of MCPS in Health Professions Education from CPSP. Her research work on “Learning Environment of students during Maternal, Neonatal and Child Health Clerkship” is in the process of completion. She is also the Director of the Maternal, Neonatal and Child Health Clerkship for the third year Medical Students at AKUH since 2011

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 is presented of successful management of a pregnancy in a previous Caesarean section scar, with the use of systemic methotrexate followed by ultrasound guided evacuation of the uterus

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