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...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2012/248564 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832551623862255616 |
|---|---|
| author | Anis Fadhlaoui Mohamed Khrouf Khaled Khémiri Kais Nouira Anis Chaker Fethi Zhioua |
| author_facet | Anis Fadhlaoui Mohamed Khrouf Khaled Khémiri Kais Nouira Anis Chaker Fethi Zhioua |
| author_sort | Anis Fadhlaoui |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-b12e2ab788744098b42d0d5f6e62406d |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-b12e2ab788744098b42d0d5f6e62406d2025-02-03T06:01:05ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922012-01-01201210.1155/2012/248564248564Successful Conservative Treatment of a Cesarean Scar Pregnancy with Systemically Administered Methotrexate and Subsequent Dilatation and Curettage: A Case ReportAnis Fadhlaoui0Mohamed Khrouf1Khaled Khémiri2Kais Nouira3Anis Chaker4Fethi Zhioua5Department of Obstetrics and Gynecology, Aziza Othmana University Hospital (Medical University of Tunis), Place du Gouvernement, La Kasba, 1008 Tunis, TunisiaDepartment of Obstetrics and Gynecology, Aziza Othmana University Hospital (Medical University of Tunis), Place du Gouvernement, La Kasba, 1008 Tunis, TunisiaDepartment of Obstetrics and Gynecology, Aziza Othmana University Hospital (Medical University of Tunis), Place du Gouvernement, La Kasba, 1008 Tunis, TunisiaDepartment of Radiology, Aziza Othmana University Hospital (Medical University of Tunis), Place du Gouvernement, La Kasba, 1008 Tunis, TunisiaDepartment of Obstetrics and Gynecology, Aziza Othmana University Hospital (Medical University of Tunis), Place du Gouvernement, La Kasba, 1008 Tunis, TunisiaDepartment of Obstetrics and Gynecology, Aziza Othmana University Hospital (Medical University of Tunis), Place du Gouvernement, La Kasba, 1008 Tunis, TunisiaCesarean 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.http://dx.doi.org/10.1155/2012/248564 |
| spellingShingle | Anis Fadhlaoui Mohamed Khrouf Khaled Khémiri Kais Nouira Anis Chaker Fethi Zhioua Successful Conservative Treatment of a Cesarean Scar Pregnancy with Systemically Administered Methotrexate and Subsequent Dilatation and Curettage: A Case Report Case Reports in Obstetrics and Gynecology |
| 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 |
| url | http://dx.doi.org/10.1155/2012/248564 |
| work_keys_str_mv | AT anisfadhlaoui successfulconservativetreatmentofacesareanscarpregnancywithsystemicallyadministeredmethotrexateandsubsequentdilatationandcurettageacasereport AT mohamedkhrouf successfulconservativetreatmentofacesareanscarpregnancywithsystemicallyadministeredmethotrexateandsubsequentdilatationandcurettageacasereport AT khaledkhemiri successfulconservativetreatmentofacesareanscarpregnancywithsystemicallyadministeredmethotrexateandsubsequentdilatationandcurettageacasereport AT kaisnouira successfulconservativetreatmentofacesareanscarpregnancywithsystemicallyadministeredmethotrexateandsubsequentdilatationandcurettageacasereport AT anischaker successfulconservativetreatmentofacesareanscarpregnancywithsystemicallyadministeredmethotrexateandsubsequentdilatationandcurettageacasereport AT fethizhioua successfulconservativetreatmentofacesareanscarpregnancywithsystemicallyadministeredmethotrexateandsubsequentdilatationandcurettageacasereport |