Conservative management of a Cesarean scar ectopic pregnancy: a case report

INTRODUCTION: Cesarean scar pregnancy is the rarest kind of ectopic pregnancy. The immediate prognosis depends on the risks associated with uterine rupture and massive bleeding. CASE PRESENTATION: A 32-year-old woman (gravida 2, para 1) presented with massive vaginal bleeding. A Cesarean scar pregna...

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Detalles Bibliográficos
Autores principales: Tulpin, Luce, Morel, Olivier, Malartic, Cécile, Barranger, Emmanuel
Formato: Texto
Lenguaje:English
Publicado: Cases Network Ltd 2009
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769373/
https://www.ncbi.nlm.nih.gov/pubmed/19918483
http://dx.doi.org/10.4076/1757-1626-2-7794
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author Tulpin, Luce
Morel, Olivier
Malartic, Cécile
Barranger, Emmanuel
author_facet Tulpin, Luce
Morel, Olivier
Malartic, Cécile
Barranger, Emmanuel
author_sort Tulpin, Luce
collection PubMed
description INTRODUCTION: Cesarean scar pregnancy is the rarest kind of ectopic pregnancy. The immediate prognosis depends on the risks associated with uterine rupture and massive bleeding. CASE PRESENTATION: A 32-year-old woman (gravida 2, para 1) presented with massive vaginal bleeding. A Cesarean scar pregnancy was diagnosed. She was treated by local methotrexate injection, followed by uterine artery embolization. Recurrence of bleeding necessitated two repeat embolizations. Hysteroscopy four months later revealed the presence of a uterine defect within the Cesarean section scar. CONCLUSION: Cesarean scar pregnancy should be diagnosed and treated as soon as possible to prevent severe complications and spare fertility.
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spelling pubmed-27693732009-11-16 Conservative management of a Cesarean scar ectopic pregnancy: a case report Tulpin, Luce Morel, Olivier Malartic, Cécile Barranger, Emmanuel Cases J Case report INTRODUCTION: Cesarean scar pregnancy is the rarest kind of ectopic pregnancy. The immediate prognosis depends on the risks associated with uterine rupture and massive bleeding. CASE PRESENTATION: A 32-year-old woman (gravida 2, para 1) presented with massive vaginal bleeding. A Cesarean scar pregnancy was diagnosed. She was treated by local methotrexate injection, followed by uterine artery embolization. Recurrence of bleeding necessitated two repeat embolizations. Hysteroscopy four months later revealed the presence of a uterine defect within the Cesarean section scar. CONCLUSION: Cesarean scar pregnancy should be diagnosed and treated as soon as possible to prevent severe complications and spare fertility. Cases Network Ltd 2009-08-18 /pmc/articles/PMC2769373/ /pubmed/19918483 http://dx.doi.org/10.4076/1757-1626-2-7794 Text en © 2009 Tulpin et al.; licensee Cases Network Ltd. http://creativecommons.org/licenses/by/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Tulpin, Luce
Morel, Olivier
Malartic, Cécile
Barranger, Emmanuel
Conservative management of a Cesarean scar ectopic pregnancy: a case report
title Conservative management of a Cesarean scar ectopic pregnancy: a case report
title_full Conservative management of a Cesarean scar ectopic pregnancy: a case report
title_fullStr Conservative management of a Cesarean scar ectopic pregnancy: a case report
title_full_unstemmed Conservative management of a Cesarean scar ectopic pregnancy: a case report
title_short Conservative management of a Cesarean scar ectopic pregnancy: a case report
title_sort conservative management of a cesarean scar ectopic pregnancy: a case report
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769373/
https://www.ncbi.nlm.nih.gov/pubmed/19918483
http://dx.doi.org/10.4076/1757-1626-2-7794
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AT malarticcecile conservativemanagementofacesareanscarectopicpregnancyacasereport
AT barrangeremmanuel conservativemanagementofacesareanscarectopicpregnancyacasereport

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