A Catastrophic Response to Phramacotherapy in Caesarean Scar Site of Ectopic Pregnancy

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MOMTAHAN M.; AKBARZADEH M.; SHIRVANI Z.; Najib F.S.

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Paper Information

Journal: SADRA MEDICAL SCIENCES JOURNAL Year:2019 | Volume:7 | Issue:1 Page(s): 75-82

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Information Journal Paper

Title

A Catastrophic Response to Phramacotherapy in Caesarean Scar Site of Ectopic Pregnancy

Author(s)

MOMTAHAN M. | AKBARZADEH M. | SHIRVANI Z. | Najib F.S. | Issue Writer Certificate

Keywords

B titerQ1

ectopic pregnancy in the previous caesarian scarQ1

pharmacotherapyQ3

Abstract

Introduction: Pregnancy in caesarean scar site is a rare event. Considering the increasing number of recent caesareans and, as a result, the increasing prevalence of this type of pregnancy, early diagnosis can prevent harmful consequences. Doppler ultrasound is the best method for the early diagnosis of this type of pregnancy. MRI is used in cases where sonography cannot be of any help. An ideal treatment modality for this type of pregnancy has not been devised yet. Case report: Herein we describe a case of caesarean scar ectopic pregnancy that in spite of having a steady decrease in BhCG titer after treatmentshe came with unstable hemodynamic state and emergency laparotomy and hysterectomy was done for her. She is a 32 y/o lady with the history of two previous cesarean sections who had missed menstrual period and spotting. The patient had stable vital signs upon arrival. No abnormalities were observed while being examined. A lesion with massive blood flow was seen in transvaginal sonography. MRI was done to confirm the diagnosis and a heterogeneous structure with prominent abnormal vasculature was seen in the lower segment of the anterior part of the uterus. The patient was given methotrexate and leucovorin for 8 days. BhCG titer was normal and, having had stable condition, the patient was discharged 8 days later. Four days later, the patient referred with massive vaginal bleeding and she went under emergency laparotomy and, considering her situation, hysterectomy was performed.

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References

Early clinical features and risk factors for cesarean scar pregnancy: a retrospective case-control study

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APA: Copy

MOMTAHAN, M., AKBARZADEH, M., SHIRVANI, Z., & Najib, F.S.. (2019). A Catastrophic Response to Phramacotherapy in Caesarean Scar Site of Ectopic Pregnancy. SADRA MEDICAL SCIENCES JOURNAL, 7(1 ), 75-82. SID. https://sid.ir/paper/238798/en

Vancouver: Copy

MOMTAHAN M., AKBARZADEH M., SHIRVANI Z., Najib F.S.. A Catastrophic Response to Phramacotherapy in Caesarean Scar Site of Ectopic Pregnancy. SADRA MEDICAL SCIENCES JOURNAL[Internet]. 2019;7(1 ):75-82. Available from: https://sid.ir/paper/238798/en

IEEE: Copy

M. MOMTAHAN, M. AKBARZADEH, Z. SHIRVANI, and F.S. Najib, “A Catastrophic Response to Phramacotherapy in Caesarean Scar Site of Ectopic Pregnancy,” SADRA MEDICAL SCIENCES JOURNAL, vol. 7, no. 1 , pp. 75–82, 2019, [Online]. Available: https://sid.ir/paper/238798/en

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