Cesarean scar pregnancy: A case report of conservative management

被引:5
作者
Maheut, L. [1 ]
Seconda, S. [2 ]
Bauville, E. [1 ]
Leveque, J. [1 ]
机构
[1] CHU Rennes, Serv Gynecol Echog, F-35203 Rennes, France
[2] CHU Lorient, Gynecol Serv, F-56100 Lorient, France
来源
JOURNAL DE GYNECOLOGIE OBSTETRIQUE ET BIOLOGIE DE LA REPRODUCTION | 2010年 / 39卷 / 03期
关键词
Cesarean scar pregnancy; Ectopic pregnancy; Methotrexate; Embolization; ECTOPIC PREGNANCIES;
D O I
10.1016/j.jgyn.2010.02.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
A caesarean scar pregnancy is a rare type of ectopic pregnancy which engages the vital prognosis either by hemorrhage or by early uterine rupture. We report the case of a 38-years-old patient who presented an ectopic pregnancy developed inside a previous caesarean section scar. The diagnosis was made at eight weeks of gestation by ultra-sound and allowed a fast management. We chose a conservative medical treatment by methotrexate both systemic and in situ. A hemorrhagic complication occured in two months of the initial treatment, requiring an endovascular therapy as well. (C) 2010 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:254 / 258
页数:5
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