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Information Journal Paper

Title

A CASE REPORT OF PREGNANCY AT INCISION SITE TREATED WITH METHOTREXATE (CASE REPORT)

Pages

  115-118

Abstract

 Introduction: CESAREAN SCAR ECTOPIC PREGNANCY is rare and is associated with serious complications if not treated early. Among treatment methods, the expectant treatment is associated with high risk for failure and complications. In patients with stable beta-human chorionic gonadotropin (bhCG) titers<5000, gestational age<8 weeks, and absence of fetal heart tones, administration of systemic methotrexate is associated with high success rate compared to surgical methods, and it is more likely to preserve fertility. In this article, we present a case of CESAREAN SCAR ECTOPIC PREGNANCY treated with a single dose of methotrexate.Case presentation: The patient was a 33-year-old woman (gravidity: 3, parity: 2, gestation: 7 weeks and 4 days) with history of two cesarean sections. She was admitted with abdominal pain, spotting, transvaginal ultrasonography based on a gestational sac implanted in CESAREAN SCAR, and bhCG titers of 3900. According to the patient's clinical condition, she was candidate for medical treatment and received one dose of methotrexate, then bhCG titers progressively reduced, and the patient was discharged in good general condition.Conclusion: Medical treatment of CESAREAN SCAR ECTOPIC PREGNANCY, in addition to efficacy and reduction of complications, can preserve fertility in the patient.

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    APA: Copy

    MOEIN DARBARI, SOMAYEH, SHOURVI, AZADEH, & MALEKI, ASIEH. (2018). A CASE REPORT OF PREGNANCY AT INCISION SITE TREATED WITH METHOTREXATE (CASE REPORT). IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, 21(1 ), 115-118. SID. https://sid.ir/paper/64961/en

    Vancouver: Copy

    MOEIN DARBARI SOMAYEH, SHOURVI AZADEH, MALEKI ASIEH. A CASE REPORT OF PREGNANCY AT INCISION SITE TREATED WITH METHOTREXATE (CASE REPORT). IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY[Internet]. 2018;21(1 ):115-118. Available from: https://sid.ir/paper/64961/en

    IEEE: Copy

    SOMAYEH MOEIN DARBARI, AZADEH SHOURVI, and ASIEH MALEKI, “A CASE REPORT OF PREGNANCY AT INCISION SITE TREATED WITH METHOTREXATE (CASE REPORT),” IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, vol. 21, no. 1 , pp. 115–118, 2018, [Online]. Available: https://sid.ir/paper/64961/en

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