Conservative treatment of ectopic pregnancy in a cesarean section scar with methotrexate:: a case report

被引:40
作者
Nawroth, F [1 ]
Foth, D [1 ]
Wilhelm, L [1 ]
Schmidt, T [1 ]
Warm, M [1 ]
Römer, T [1 ]
机构
[1] Univ Cologne, Dept Obstet & Gynaecol, D-50931 Cologne, Germany
关键词
cesarean section scar; ectopic pregnancy; methotrexate; myometrium;
D O I
10.1016/S0301-2115(01)00365-7
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Ectopic pregnancies sited in dehiscent cesarean section scars have a high risk of rupture and bleeding. Attempts at operative therapy frequently end in loss of the uterus, A connection with the cavum uteri justifies an attempt at dilatation and curettage. We describes a patient with combined systemic and local intra-amniotic methotrexate (MTX). The uterus was preserved. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:135 / 137
页数:3
相关论文
共 20 条
  • [1] Asakura Hirobumi, 2000, Journal of Nippon Medical School, V67, P352, DOI 10.1272/jnms.67.352
  • [2] DAVID MP, 1980, OBSTET GYNECOL, V56, P247
  • [3] Feldenkamp M, 1993, TERATOLOGY, V7, P533
  • [4] GODIN A, 1997, FERTIL STERIL, V68, P98
  • [5] Long-term effects of cesarean sections: Ectopic pregnancies and placental problems
    Hemminki, E
    Merilainen, J
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1996, 174 (05) : 1569 - 1574
  • [6] FOLLOW-UP AND OUTCOME OF ISTHMIC PREGNANCY LOCATED IN A PREVIOUS CESAREAN-SECTION SCAR
    HERMAN, A
    WEINRAUB, Z
    AVRECH, O
    MAYMON, R
    RONEL, R
    BUKOVSKY, Y
    [J]. BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1995, 102 (10): : 839 - 841
  • [7] Huang K H, 1998, Changgeng Yi Xue Za Zhi, V21, P323
  • [8] JELSEMA RD, 1992, OBSTET GYNECOL, V80, P517
  • [9] Combined systemic and intra-amniotic treatment of cervical pregnancy by methotrexate. A report of two cases
    Kaminopetros, P
    Watson, AJS
    Martinez, D
    Rand, RJ
    Thornton, JG
    [J]. EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1996, 68 (1-2): : 231 - 234
  • [10] Laparoscopic management of an ectopic pregnancy in a previous Caesarean section scar
    Lee, CL
    Wang, CJ
    Chao, A
    Yen, CF
    Soong, YK
    [J]. HUMAN REPRODUCTION, 1999, 14 (05) : 1234 - 1236