| Cesarean scar ectopic pregnancy in a patient with multiple prior cesarean sections: a case report. | |
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MedLine Citation:
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PMID: 19438168 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Cesarean scar pregnancy, an abnormal gestation implanted in the hysterotomy site of a previous cesarean section, is a unique type of ectopic pregnancy. Once uncommon, these life-threatening gestations are increasing in frequency. Outcomes depend on a high index of suspicion and early diagnosis. CASE: A 39-year-old, gravida 9, para 5-0-3-5, with a history of 5 cesarean deliveries, presented with vaginal bleeding secondary to cesarean scar pregnancy at 8 weeks' gestation. The patient, who desired future fertillty, was successfully treated conservatively with methotrexate and uterine artery embolization. CONCLUSION: Reports of cesarean scar pregnancies are rising in the literature, and we describe a scar pregnancy in a woman with multiple prior cesareans. Although the relationship between cesarean scar pregnancy and the number of previous cesarean deliveries is unclear, rising cesarean section rates worldwide will further increase overall incidence. The optimal treatment modality remains uncertain, but conservative management is appropriate when desired by the patient and administered under close observation. |
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Authors:
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Jessica Kiley; Lee P Shulman |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 54 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-05-14 Completed Date: 2009-06-18 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: 251-4 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois, USA. jkiley@nmff.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortifacient Agents, Nonsteroidal
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therapeutic use Adult Arteries Cesarean Section* / adverse effects Chorionic Gonadotropin, beta Subunit, Human / blood Cicatrix* / etiology Embolization, Therapeutic Female Humans Magnetic Resonance Imaging Methotrexate / therapeutic use Pregnancy Pregnancy, Ectopic / diagnosis*, therapy, ultrasonography Uterine Hemorrhage Uterus / blood supply |
| Chemical | |
Reg. No./Substance:
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0/Abortifacient Agents, Nonsteroidal; 0/Chorionic Gonadotropin, beta Subunit, Human; 59-05-2/Methotrexate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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