Ectopic pregnancy in a cesarean section scar

被引:35
作者
Chiang, An-Jen [1 ,2 ,3 ,4 ]
La, Victor [5 ]
Chou, Chen-Pin [6 ]
Wang, Peng-Hui [5 ,7 ]
Yu, Ken-Jen [1 ,3 ,4 ]
机构
[1] Kaohsiung Vet Gen Hosp, Dept Obstet & Gynecol, Kaohsiung 813, Taiwan
[2] Stanford Univ, Div Gynecol Oncol, Dept Obstet & Gynecol, Sch Med,Stanford Canc Ctr, Stanford, CA 94305 USA
[3] Natl Yang Ming Univ, Div Obstet & Gynecol, Sch Med, Taipei 112, Taiwan
[4] Natl Def Med Ctr, Div Obstet & Gynecol, Taipei, Taiwan
[5] Johns Hopkins Univ, Sch Med, Dept Pathol, Baltimore, MD 21205 USA
[6] Kaohsiung Vet Gen Hosp, Dept Radiol, Kaohsiung 813, Taiwan
[7] Taipei Vet Hosp, Dept Obstet & Gynecol, Taipei, Taiwan
关键词
Cesarean scar pregnancy; laparoscopy; magnetic resonance imaging; ultrasound; DIAGNOSIS;
D O I
10.1016/j.fertnstert.2011.03.104
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
A combination of systemic chemotherapy, feticide with intrachest and intra-abdominal injection with methotrexate, and hysteroscopy with dilation and curettage to remove the gestational tissue was successful in the treatment of a cesarean scar ectopic pregnancy. This case presents images of the ultrasound, magnetic resonance imaging, and pathologic features unique to a cesarean scar pregnancy. (Fertil Steril (R) 2011; 95: 2388-9. (C) 2011 by American Society for Reproductive Medicine.)
引用
收藏
页码:2388 / 2389
页数:2
相关论文
共 5 条
  • [1] Ectopic pregnancy within a cesarean delivery scar: A case report
    Fylstra, DL
    Pound-Chang, T
    Miller, G
    Cooper, A
    Miller, KM
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2002, 187 (02) : 302 - 304
  • [2] Randomised trial of systemic methotrexate versus laparoscopic salpingostomy in tubal pregnancy
    Hajenius, PJ
    Engelsbel, S
    Mol, BWJ
    VanderVeen, F
    Ankum, WM
    Bossuyt, PMM
    Hemrika, DJ
    Lammes, FB
    [J]. LANCET, 1997, 350 (9080) : 774 - 779
  • [3] Laparoscopic Surgery of Ectopic Gestational Sac Implanted in the Cesarean Section Scar
    Lee, Jung Han
    Kim, Seong Hee
    Cho, Sam Hyun
    Kim, Seung Ryong
    [J]. SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2008, 18 (05) : 479 - 482
  • [4] Cesarean scar ectopic pregnancies - Etiology, diagnosis, and management
    Rotas, Michael A.
    Haberman, Shoshana
    Levgur, Michael
    [J]. OBSTETRICS AND GYNECOLOGY, 2006, 107 (06) : 1373 - 1381
  • [5] Ultrasound diagnosis of a pregnancy in a Cesarean section scar
    Seow, KM
    Hwang, JL
    Tsai, YL
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2001, 18 (05) : 547 - 549