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Clin Exp Obstet Gyn · Jan 2007
Case ReportsSuccessful medical treatment of cesarean scar pregnancy: a case report.
- S Ayas, I Aköz, A Karateke, and O Bozoklu.
- Department of Obstetrics and Gynecology, Zeynep Kamil Women and Children's Hospital, Istanbul, Turkey.
- Clin Exp Obstet Gyn. 2007 Jan 1; 34 (3): 195-6.
ObjectiveCesarean scar pregnancy is implantation of the pregnancy within the fibrous tissue of the cesarean scar which is completely surrounded by myometrium.Method And ResultA 32-year-old woman, gravida 2, para 1 presented at our emergency department with mild lower abdominal pain and minimal vaginal bleeding. She was diagnosed with cesarean scar pregnancy. Conservative treatment with methotrexate 50 mg/m2 was administered IM on days 0 and 8. Her betaHCG value was zero at the 14th week after beginning of the treatment.ConclusionRepeated methotrexate administration in the management of cesarean scar pregnancy should be attempted in informed patients who especially desire fertility and can be closely followed up.
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