Literature DB >> 29066656

Successful management of caesarean scar live ectopic pregnancies with local KCL and systemic methotrexate.

Monica Gupta1, Alka Kriplani1, Reeta Mahey1, Isha Kriplani1.   

Abstract

Two cases of live caesarean scar ectopic pregnancies are presented. Beta human chorionic gonadotropin (b-hCG) values in both patients at presentation were 50 099 mIU and 297 969 mIU, respectively. Both were managed with intrasac potassium chloride injection to induce fetal demise and multiple dose methotrexate therapy. The time for b-hCG to become negative in both patients was 91 days and 119 days, respectively. Successful management of live caesarean scar pregnancies even with very high b-hCG is possible with minimally invasive approach. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Entities:  

Keywords:  gynaecology and fertility; obstetrics; pregnancy

Mesh:

Substances:

Year:  2017        PMID: 29066656      PMCID: PMC5665188          DOI: 10.1136/bcr-2017-221844

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN: 1757-790X


  12 in total

1.  Foley Catheter-Assisted Laparoscopic Treatment of Type II Cesarean Scar Pregnancy.

Authors:  Chunmei Zhang; Guipeng Liu; Quan Guo; Yang Li; Qing Yang
Journal:  J Minim Invasive Gynecol       Date:  2016-01-20       Impact factor: 4.137

Review 2.  Cesarean Scar Pregnancy: A Systematic Review.

Authors:  Natalia Gonzalez; Togas Tulandi
Journal:  J Minim Invasive Gynecol       Date:  2017-03-06       Impact factor: 4.137

3.  Medical treatment of ectopic pregnancy: a committee opinion.

Authors: 
Journal:  Fertil Steril       Date:  2013-07-10       Impact factor: 7.329

4.  The diagnosis, treatment, and follow-up of cesarean scar pregnancy.

Authors:  Ilan E Timor-Tritsch; Ana Monteagudo; Rosalba Santos; Tanya Tsymbal; Grace Pineda; Alan A Arslan
Journal:  Am J Obstet Gynecol       Date:  2012-04-16       Impact factor: 8.661

Review 5.  Cesarean Scar Pregnancies: A Systematic Review of Treatment Options.

Authors:  Sarah Maheux-Lacroix; Fiona Li; Emmanuel Bujold; Erin Nesbitt-Hawes; Rebecca Deans; Jason Abbott
Journal:  J Minim Invasive Gynecol       Date:  2017-07-18       Impact factor: 4.137

Review 6.  Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review.

Authors:  Ilan E Timor-Tritsch; Ana Monteagudo
Journal:  Am J Obstet Gynecol       Date:  2012-03-10       Impact factor: 8.661

7.  Management of a Viable Cesarean Scar Pregnancy: A Case Report.

Authors:  Mini Mammen Roy; Forough Radfar
Journal:  Oman Med J       Date:  2017-03

8.  Comparison of systemic and local methotrexate treatments in cesarean scar pregnancies: time to change conventional treatment and follow-up protocols.

Authors:  Semih Z Uludag; Mehmet S Kutuk; Mehmet Ak; Mahmut T Ozgun; Mehmet Dolanbay; Ercan M Aygen; Yılmaz Sahin
Journal:  Eur J Obstet Gynecol Reprod Biol       Date:  2016-09-21       Impact factor: 2.435

9.  Evaluation of the efficacy of laparoscopic resection for the management of exogenous cesarean scar pregnancy.

Authors:  Guangwei Wang; Xiaofei Liu; Fangfang Bi; Lili Yin; Rina Sa; Dandan Wang; Qing Yang
Journal:  Fertil Steril       Date:  2014-03-19       Impact factor: 7.329

10.  Cesarean scar pregnancy: issues in management.

Authors:  K-M Seow; L-W Huang; Y-H Lin; M Yan-Sheng Lin; Y-L Tsai; J-L Hwang
Journal:  Ultrasound Obstet Gynecol       Date:  2004-03       Impact factor: 7.299

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  1 in total

1.  Successful Management of Caesarean Scar Ectopic Pregnancies: A Report of Five Cases.

Authors:  Neena Malhotra; Nilofar Noor; Piyush Bansal; K Aparna Sharma
Journal:  J Reprod Infertil       Date:  2021 Jul-Sep
  1 in total

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