Conservative treatment by chemotherapy and uterine arteries embolization of a cesarean scar pregnancy.
We report a case of a viable cesarean scar pregnancy diagnosed at 7 weeks of gestation. The patient was conservatively managed by chemotherapy, intra-amniotic instillation of potassium chloride, and bilateral uterine artery embolization. The gestational sac was not sonographically visible 44 days after the treatment. No surgical treatment was necessary.
Ghezzi
Fabio
F
Departments of Obstetrics, Gynecology and Radiology, University of Insubria, Ospedale di Circolo, Viale Borri 57, 21100, Varese, Italy. fabio.ghezzi@uninsubria.it
Laganà
Domenico
D
Franchi
Massimo
M
Fugazzola
Carlo
C
Bolis
Pierfrancesco
P
D000328:Adult; D000792:Angiography; D001158:Arteries; D002585:Cesarean Section; D002921:Cicatrix; D004621:Embolization, Therapeutic; D005260:Female; D005865:Gestational Age; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use*; D011189:Potassium Chloride / Q000008:administration & dosage; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000628:therapy*; D014463:Ultrasonography; D014599:Uterus / Q000098:blood supply
D011189:Potassium Chloride; D008727:Methotrexate