Local management with methotrexate of cesarean scar ectopic pregnancy with live embryo guided by transvaginal ultrasound: A case report

Cesarean scar ectopic pregnancy is a rare type of ectopic pregnancy with high morbidity and mortality. Use of conservative conducts, including medical management with methotrexate, has avoided mutilating surgeries such as hysterectomy and spared the fertility of women. We report the case of a 30-yea...

Descripción completa

Detalles Bibliográficos
Autores: Leite, Juliana de Freitas [UNIFESP], Fraietta, Renato [UNIFESP], Elito Junior, Julio [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/57817
Acceso en línea:http://dx.doi.org/10.1590/1806-9282.62.02.184
https://repositorio.unifesp.br/handle/11600/57817
Access Level:acceso abierto
Palabra clave:Ectopic pregnancy
methotrexate
scar
cesarean section
Descripción
Sumario:Cesarean scar ectopic pregnancy is a rare type of ectopic pregnancy with high morbidity and mortality. Use of conservative conducts, including medical management with methotrexate, has avoided mutilating surgeries such as hysterectomy and spared the fertility of women. We report the case of a 30-year old patient with a cesarean scar ectopic pregnancy, with a live embryo, who was treated locally with transvaginal ultrasound-guided injection of methotrexate, complemented with various doses of systemic methotrexate.