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Therapeutic options of caesarean scar pregnancy: Case series and literature review

✍ Scribed by A.J. Marjolein Bij de Vaate; Hans A.M. Brölmann; Johannes W. van der Slikke; Maurice G.A.J. Wouters; Roel Schats; Judith A.F. Huirne


Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
144 KB
Volume
38
Category
Article
ISSN
0091-2751

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✦ Synopsis


Abstract

We describe our experience with the treatment of 4 caesarean scar pregnancies and provide an overview of current literature. Four women diagnosed with a caesarean scar pregnancy in our hospital between 1996 and 2007 were treated with local or systemic methotrexate and had a steady decline of the serum β‐hCG level. The uterus was preserved in all women and 3 of them had an uneventful subsequent pregnancy and delivery. We suggest that transcervical needle aspiration of amniotic fluid followed by intra‐amniotic injection of methotrexate should be the treatment of choice, followed by surgical treatment only if methotrexate fails. © 2009 Wiley Periodicals, Inc. J Clin Ultrasound 2010


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