Laparoscopic Treatment of Cesarean Scar Ectopic Pregnancy

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Ectopic Pregnancy in Cesarean Section Scar

Pregnancy implantation within the scar of a previous cesarean delivery is one of the rarest locations for an ectopic pregnancy. Early diagnosis of this condition with the use of ultrasound imaging allows for preserving the uterus and subsequent fertility. However, a delay in either diagnosis or treatment can lead to uterine rupture, hysterectomy and significant maternal morbidity. With increasi...

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Local metothrexate treatment of cesarean scar ectopic pregnancy

Myometrial pregnancy developing in a previous caesarean section scar is the rarest of all ectopic pregnancies (EP) and probably one of the most dangerous of all because of the risk of rupture and hemorrhage. The recent recognition of this problem means that diagnosis and management are still in their infancy, and there is no consensus regarding the best management of CSP. Methotrexate (MTX) can...

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Cesarean Scar Pregnancy Managed with Conservative Treatment

Cesarean scar pregnancy (CSP) is a rare, but life-threatening type of ectopic pregnancy. An exact and early diagnosis of CSP is very important for prognosis. The aim of the present study was to describe 4 women with CSP and discuss their clinical presentations, diagnoses, and various management options along with the published literature. Four women with a suspicion of CSP or cervical pregnancy...

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MRI in Cesarean Scar Ectopic Pregnancy

Ectopic pregnancy overall is the leading cause of death in the first trimester [1]. The incidence of pregnancy implantation in unusual sites, like cesarean scar is rising due to increased incidence of cesarean sections, pelvic inflammatory disease and dilatation and curettage [2]. Up to 72% of cesarean scar pregnancies occur in women who have had 2 or more cesarean deliveries [3-5]. The dehisce...

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Ectopic pregnancy in a cesarean section scar.

A combination of systemic chemotherapy, feticide with intrachest and intra-abdominal injection with methotrexate, and hysteroscopy with dilation and curettage to remove the gestational tissue was successful in the treatment of a cesarean scar ectopic pregnancy. This case presents images of the ultrasound, magnetic resonance imaging, and pathologic features unique to a cesarean scar pregnancy.

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ژورنال

عنوان ژورنال: Journal of Gynecologic Surgery

سال: 2014

ISSN: 1042-4067,1557-7724

DOI: 10.1089/gyn.2014.0005