Management of cesarean scar pregnancy with suction curettage: a report of four cases and review of the literature

被引:77
作者
Tekin, Yesim Bayoglu [1 ]
Ural, Ulku Mete [1 ]
Balik, Gulsah [1 ]
Ustuner, Isik [1 ]
Sahin, Figen Kir [1 ]
Guven, Emine Seda Guvendag [1 ]
机构
[1] Recep Tayyip Erdogan Univ, Sch Med, Dept Obstet & Gynecol, TR-53200 Islampasa Mah, Rize, Turkey
关键词
Cesarean scar pregnancy; Treatment; Suction curettage; Ultrasonography; Ectopic pregnancy; ECTOPIC PREGNANCY; DIAGNOSIS; METHOTREXATE; EMBOLIZATION; THERAPY;
D O I
10.1007/s00404-014-3143-6
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
To present the outcomes of four cases of cesarean scar pregnancy treated with suction curettage. Four patients were ultrasonographically diagnosed with cesarean scar pregnancies treated with suction curettage in a tertiary care center. Serum beta-human chorionic gonadotropin levels ranged between 1,681 and 15,573 mU/mL, gestational sac diameter measured from 10 to 24 mm and scar thickness was between 4.7 and 6.8 mm. All patients underwent suction curettage under general anesthesia with transabdominal ultrasonography guidance. No complications were observed during or after operation. Suction curettage is a viable alternative for conservative treatment in selected cases of patients who are diagnosed with CSP early in gestation and who have a myometrial thickness of more than 4.5 mm.
引用
收藏
页码:1171 / 1175
页数:5
相关论文
共 18 条
[1]
[Anonymous], 2009, J REPROD CONTRACEPT, DOI DOI 10.1016/S1001-7844(09)60020-1
[2]
Treatment of viable cesarean scar ectopic pregnancy with suction curettage [J].
Arslan, M ;
Pata, O ;
Dilek, TUK ;
Aktas, A ;
Aban, M ;
Dilek, S .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2005, 89 (02) :163-166
[3]
Caesarean scar pregnancy [J].
Ash, A. ;
Smith, A. ;
Maxwell, D. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2007, 114 (03) :253-263
[4]
Ectopic pregnancy within a cesarean scar: A review. [J].
Fylstra, DL .
OBSTETRICAL & GYNECOLOGICAL SURVEY, 2002, 57 (08) :537-543
[5]
Conservative treatment by chemotherapy and uterine arteries embolization of a cesarean scar pregnancy [J].
Ghezzi, F ;
Laganà, D ;
Franchi, M ;
Fugazzola, C ;
Bolis, P .
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2002, 103 (01) :88-91
[6]
Methotrexate therapy followed by suction curettage followed by Foley tamponade for caesarean scar pregnancy [J].
Jiang, Tao ;
Liu, Guipeng ;
Huang, Ling ;
Ma, Haining ;
Zhang, Shulan .
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2011, 156 (02) :209-211
[7]
First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar [J].
Jurkovic, D ;
Hillaby, K ;
Woelfer, B ;
Lawrence, A ;
Salim, R ;
Elson, CJ .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2003, 21 (03) :220-227
[8]
Bilateral uterine artery chemoembolization combined with dilation and curettage for treatment of cesarean scar pregnancy: A method for preserving the uterus [J].
Lan, Weishun ;
Hu, Daoyu ;
Li, Zhen ;
Wang, Liang ;
Yang, Wenzhong ;
Hu, Shan .
JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH, 2013, 39 (06) :1153-1158
[9]
Larsen JV, 1978, S AFR MED J, V28, P123
[10]
Cesarean section scar pregnancy may be the cause of serious hemorrhage after first-trimester abortion by dilatation and curettage [J].
Nonaka, M. ;
Toyoki, H. ;
Imai, A. .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2006, 95 (01) :50-51