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Successful Conservative Treatment of a Cesarean Scar Pregnancy with Systemically Administered Methotrexate and Subsequent Dilatation and Curettage: A Case Report

Cesarean scar pregnancy is a rare type of ectopic pregnancy associated with severe complications such as uterine rupture, uncontrollable bleeding which may lead to hysterectomy, and definitive infertility. Many therapeutic options are available such as Dilatation & Curetage, excision of trophobl...

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Detalles Bibliográficos
Autores principales: Fadhlaoui, Anis, Khrouf, Mohamed, Khémiri, Khaled, Nouira, Kais, Chaker, Anis, Zhioua, Fethi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335663/
https://www.ncbi.nlm.nih.gov/pubmed/22567525
http://dx.doi.org/10.1155/2012/248564
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author Fadhlaoui, Anis
Khrouf, Mohamed
Khémiri, Khaled
Nouira, Kais
Chaker, Anis
Zhioua, Fethi
author_facet Fadhlaoui, Anis
Khrouf, Mohamed
Khémiri, Khaled
Nouira, Kais
Chaker, Anis
Zhioua, Fethi
author_sort Fadhlaoui, Anis
collection PubMed
description Cesarean scar pregnancy is a rare type of ectopic pregnancy associated with severe complications such as uterine rupture, uncontrollable bleeding which may lead to hysterectomy, and definitive infertility. Many therapeutic options are available such as Dilatation & Curetage, excision of trophoblastic tissues using either laparotomy or laparoscopy, systemically administered Methotrexate, and more recently uterine artery embolization. The use of Methotrexate sometimes required laparotomy later because of severe hemorrhage. Through this paper, we demonstrated that viable cesarean scar pregnancy can be managed safely by systemically delivered Methotrexate at the cost of a prolonged followup.
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spelling pubmed-33356632012-05-07 Successful Conservative Treatment of a Cesarean Scar Pregnancy with Systemically Administered Methotrexate and Subsequent Dilatation and Curettage: A Case Report Fadhlaoui, Anis Khrouf, Mohamed Khémiri, Khaled Nouira, Kais Chaker, Anis Zhioua, Fethi Case Rep Obstet Gynecol Case Report Cesarean scar pregnancy is a rare type of ectopic pregnancy associated with severe complications such as uterine rupture, uncontrollable bleeding which may lead to hysterectomy, and definitive infertility. Many therapeutic options are available such as Dilatation & Curetage, excision of trophoblastic tissues using either laparotomy or laparoscopy, systemically administered Methotrexate, and more recently uterine artery embolization. The use of Methotrexate sometimes required laparotomy later because of severe hemorrhage. Through this paper, we demonstrated that viable cesarean scar pregnancy can be managed safely by systemically delivered Methotrexate at the cost of a prolonged followup. Hindawi Publishing Corporation 2012 2012-01-31 /pmc/articles/PMC3335663/ /pubmed/22567525 http://dx.doi.org/10.1155/2012/248564 Text en Copyright © 2012 Anis Fadhlaoui et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Fadhlaoui, Anis
Khrouf, Mohamed
Khémiri, Khaled
Nouira, Kais
Chaker, Anis
Zhioua, Fethi
Successful Conservative Treatment of a Cesarean Scar Pregnancy with Systemically Administered Methotrexate and Subsequent Dilatation and Curettage: A Case Report
title Successful Conservative Treatment of a Cesarean Scar Pregnancy with Systemically Administered Methotrexate and Subsequent Dilatation and Curettage: A Case Report
title_full Successful Conservative Treatment of a Cesarean Scar Pregnancy with Systemically Administered Methotrexate and Subsequent Dilatation and Curettage: A Case Report
title_fullStr Successful Conservative Treatment of a Cesarean Scar Pregnancy with Systemically Administered Methotrexate and Subsequent Dilatation and Curettage: A Case Report
title_full_unstemmed Successful Conservative Treatment of a Cesarean Scar Pregnancy with Systemically Administered Methotrexate and Subsequent Dilatation and Curettage: A Case Report
title_short Successful Conservative Treatment of a Cesarean Scar Pregnancy with Systemically Administered Methotrexate and Subsequent Dilatation and Curettage: A Case Report
title_sort successful conservative treatment of a cesarean scar pregnancy with systemically administered methotrexate and subsequent dilatation and curettage: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335663/
https://www.ncbi.nlm.nih.gov/pubmed/22567525
http://dx.doi.org/10.1155/2012/248564
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