Diagnosis and management of cesarean scar pregnancy.
Clin Exp Obstet Gynecol
; 39(3): 365-8, 2012.
Article
em En
| MEDLINE
| ID: mdl-23157046
ABSTRACT
OBJECTIVE:
To evaluate the diagnosis and management modalities of cesarean scar pregnancy according to our experience. DESIGN ANDSETTING:
Retrospective study at the Women's Health Research and Education Hospital. PATIENTS Six patients were diagnosed and treated for cesarean scar pregnancy (CSP) with dilatation and curettage, methotrexate (MTX), or laparatomy.RESULTS:
One patient chose the surgical option due to her desire to have a tubal ligation. In the second case methotrexate was applied initially, but two weeks later suction curretage was applied due to abdominal pain and vaginal bleeding. Suction curettage was used as an initial treatment for four patients. There were not any complications in three of four patients. One patient had heavy vaginal bleeding which started after curettage. On ultrasonographic examination, increasing hemorrhage was seen between the uterus and the bladder so subtotal hysterectomy was performed.DISCUSSION:
Ultrasound should be used effectivelly in evaluation of pregnant patients with previous cesarean deliveries. There is still no unique treatment modality for CSP, so treatment should be tailored for each patient. Before the 7th week, abortion should be considered. After the 7th week, MTX and/or surgical options should be preferred.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Gravidez Ectópica
/
Cesárea
/
Cicatriz
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article