EurekaMag
+ Most Popular
Cunninghamia lanceolata plantations in China
Mammalian lairs in paleo ecological studies and palynology
Studies on technological possibilities in utilization of anhydrous milk fat for production of recombined butter-like products
Should right-sided fibroelastomas be operated upon?
Large esophageal lipoma
Apoptosis in the mammalian thymus during normal histogenesis and under various in vitro and in vivo experimental conditions
Poissons characoides nouveaux ou non signales de l'Ilha do Bananal, Bresil
Desensitizing efficacy of Colgate Sensitive Maximum Strength and Fresh Mint Sensodyne dentifrices
Administration of fluid by subcutaneous infusion: revival of a forgotten method
Tundra mosquito control - an impossible dream?
Schizophrenia for primary care providers: how to contribute to the care of a vulnerable patient population
Geochemical pattern analysis; method of describing the Southeastern limestone regional aquifer system
Incidence of low birth weights in a hospital of Mexico City
Tabanidae
Graded management intensity of grassland systems for enhancing floristic diversity
Microbiology and biochemistry of cheese and fermented milk
The ember tetra: a new pygmy characid tetra from the Rio das Mortes, Brazil, Hyphessobrycon amandae sp. n. (Pisces, Characoidei)
Risk factors of contrast-induced nephropathy in patients after coronary artery intervention
Renovation of onsite domestic wastewater in a poorly drained soil
Observations of the propagation velocity and formation mechanism of burst fractures caused by gunshot
Systolic blood pressure in a population of infants in the first year of life: the Brompton study
Haematological studies in rats fed with metanil yellow
Studies on pasteurellosis. I. A new species of Pasteurella encountered in chronic fowl cholera
Dormancy breaking and germination of Acacia salicina Lindl. seeds
therapy of lupus nephritis. a two-year prospective study

Successful local and systemic medical treatment of cesarean scar pregnancy and a subsequent term pregnancy after treatment: a case series


Successful local and systemic medical treatment of cesarean scar pregnancy and a subsequent term pregnancy after treatment: a case series



Iranian Journal of Reproductive Medicine 13(7): 445-450



ISSN/ISBN: 1680-6433

PMID: 26494993

Treatment of cesarean scar pregnancy (CSP) is controversial. The objective of this study was to report our successful experience in the medical treatment of CSP with potassium chloride (KCl) and methotrexate. This is a case series of six patients between 6-12 gestational weeks with the diagnosis of CSP. In five cases the fetus was alive and in one case, despite being at a gestational age of 12 weeks based on CRL, there was no fetal heart activity. In four of these cases, an ultrasound- guided KCl injection in the heart was performed on four living fetuses and then systemic methotrexate was administered. In two other cases, methotrexate was injected into the gestational sac and subsequently the systemic methotrexate was administered. During follow-up, the patients were stable and no complications occurred. Additionally, serum beta human chorionic gonadotropin (β-hCG) was negative between five to 11 weeks later. One of the patients became pregnant one year later. Her pregnancy continued without any complication and she was delivered by cesarean section at the gestational age of 38 weeks. During caesarean section, it was noticed that the appearance of previous cesarean scar was normal and there was no scar. Based on our experience, the combination of systemic Methotrexate with local Methotrexate or KCl is feasible and can be performed as an outpatient procedure and is successful in the treatment of CSP.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 058929559

Download citation: RISBibTeXText

Related references

Successful Treatment of a Recurrent Cesarean Scar Pregnancy by Transvaginal Cesarean Scar Pregnancy Lesion Resection: A Case Report. Journal of Reproductive Medicine 61(11-12): 595-597, 2016

Successful medical treatment of cesarean scar pregnancy: a case report. Clinical and Experimental Obstetrics and Gynecology 34(3): 195-196, 2007

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 2012: 248564, 2012

Cesarean scar pregnancy managed with local and systemic methotrexate: A single center case series. European Journal of Obstetrics Gynecology and Reproductive Biology 238: 138-142, 2019

Cesarean scar pregnancy managed with local and systemic methotrexate: A single center case series. European Journal of Obstetrics and Gynecology and Reproductive Biology 238: 138-142, 2019

Cesarean scar pregnancy treatment: a case series. Journal of Medical Case Reports 15(1): 506, 2021

HCG values and gestational sac size as indicators of successful systemic methotrexate treatment in cesarean scar pregnancy. Taiwanese Journal of Obstetrics and Gynecology 60(3): 454-457, 2021

Subsequent pregnancy outcome after conservative treatment of a previous cesarean scar pregnancy. Acta Obstetricia et Gynecologica Scandinavica 83(12): 1167-1172, 2004

Successful Conservative Treatment of Cesarean Scar Ectopic Pregnancy with Local Injections of Absolute Ethanol. Gynecology and Minimally Invasive Therapy 10(2): 132-134, 2021

Successful Treatment of Cesarean Scar Pregnancy With Suction Curettage: Our Experiences in Early Pregnancy. Ochsner Journal 18(3): 222-225, 2018

Successful Pregnancy Outcome Immediately after Methotrexate Treatment for Cesarean Section Scar Pregnancy. Gynecology and Minimally Invasive Therapy 8(4): 185-187, 2019

Successful treatment of cesarean scar pregnancy using laparoscopically assisted local injection of etoposide with transvaginal ultrasound guidance. Fertility and Sterility 92(5): 1747.E9, 2009

Unsuccessful medical treatment of cesarean scar ectopic pregnancy with systemic methotrexate: a report of two cases. Acta Obstetricia et Gynecologica Scandinavica 83(1): 108-111, 2004

Ineffectual Medical Treatment of Cesarean Scar Ectopic Pregnancy With Systemic Methotrexate: A Report of Two Cases. Journal of Investigative Medicine High Impact Case Reports 2(1): 2324709614528903, 2014

Successful term pregnancy after treatment of a cesarean scar ectopic gestation by endoscopic technique and conservative therapy. Fertility and Sterility 90(5): 2010.E13-5, 2008