| Cesarean scar ectopic pregnancy: a case report of failed combination local and systemic methotrexate management requiring surgical intervention. | |
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MedLine Citation:
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PMID: 21838169 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: Cesarean scar ectopic pregnancies have been diagnosed with increasing frequency in the last decade. There is no consensus of management for these pregnancies; however, prior reports have suggested best results using either combination methotrexate therapy or surgical excision. CASE: We present a case of failed systemic and local methotrexate therapy requiring operative management, CONCLUSION: Cesarean scar ectopic pregnancies can have disastrous outcomes, including uterine rupture, massive hemorrhage and maternal death. Although this is the first case to report a failure of the combination therapy, major morbidities did not occur. We believe this is due to our choice of expedient surgical management. |
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Authors:
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Erin E Stevens; Paul Ogburn |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 56 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2011 Jul-Aug |
Date Detail:
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Created Date: 2011-08-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 356-8 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Stony Brook University Medical Center, Stony Brook, NY 11733, USA. erin.e.stevens@gmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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