"> DOI:10.18643/gieu.2017.23
"> DOI:10.18643/gieu.2017.23
"/> Caesarian scar ectopic pregnancy. A case report
<- Home <- Arhive <- Vol. 13, Issue 1, March 2017


Caesarian scar ectopic pregnancy. A case report

O. Toader, A. Vintea, A. Voichitoiu, N. Suciu, M. Cirstoiu, S. Esanu, R. Bohiltea

Abstract: The caesarian scar pregnancy is a rare form of ectopic pregnancy. It is a medical challenge because of the difficulties in diagnosis and treatment. We present the case of a 32 years old woman with 8 weeks amenorrhea and a pregnancy positive test, who was admitted to hospital for lower abdominal pain. Her history is unremarkable, except for a previous pregnancy finalized by caesarian-section. The diagnosis was caesarian scar pregnancy. The first treatment option was systemic Methotrexate. After 3 doses, because there was no visible effect on the pregnancy, the patient was referred to other clinic for uterine artery embolization. One week after the embolization, a suction curettage was performed with elimination of the gestational sac from the scar tissue. The follow up so far showed no defect in the uterine wall.

Keywords: caesarean scar pregnancy, uterine artery embolization, suction curettage.

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