An ectopic pregnancy developing in a previous caesarian section scar

被引：915

作者：

Godin, PA ^{[1
]}

Bassil, S ^{[1
]}

Donnez, J ^{[1
]}

机构：

[1] UNIV CATHOLIQUE LOUVAIN,DEPT GYNECOL,CLIN UNIV ST LUC,B-1200 BRUSSELS,BELGIUM

来源：

FERTILITY AND STERILITY | 1997年 / 67卷 / 02期

关键词：

ectopic pregnancy; myometrium; caesarean section scar;

D O I：

10.1016/S0015-0282(97)81930-9

中图分类号：

R71 [妇产科学];

学科分类号：

100211 [妇产科学];

摘要：

Objective: To report the diagnosis and management of an ectopic pregnancy (EP) developing in a caesarean section scar. Design: Case report. Setting: University medical school. Patient(s): A patient with a previous history of two caesarean sections developing an EP. Intervention(s): Methotrexate (MTX) was administered locally under ultrasonographic guidance. Main Outcome Measure(s): Weekly screening of blood hCG levels and yolk sac resorption by endovaginal sonography. Result(s): The diagnosis was suspected by vaginal echography and confirmed by magnetic resonance imaging. Local injection of KCI and MTX provoked a progressive resorption of the pregnancy. Human chorionic gonadotropin nias undetectable on day 82. Conclusion(s): To prevent uterine rupture in cases of an EP developing in a caesarean section scar, a medical approach can be proposed.

引用

页码：398 / 400

页数：3