[Caesarean section scar pregnancy--various treatment alternatives].
Pregnancy in a Caesarean section scar is rare but possibly life-threatening because of the risk of rupture and excessive bleeding. We describe here a case of a pregnant woman with previous Caesarean section. She had no symptoms of ectopic pregnancy, but a transvaginal sonography showed a live seven-week pregnancy in the Caesarean section scar. To terminate the pregnancy and conserve the uterus, she was treated medically with methotrexate and mifepristone, with no effect. Transvaginal intrathoracic injection of 1 mmol of potassium chloride was then performed. After this, the patient's serum HCG level dropped.
Storgaard
Tina
T
Herning Sygehus, Kvinde-Barn-Centeret, Gynaekologisk-obstetrisk Afdeling, Herning. tina_storgaard@hotmail.com
Frandsen
Kristian Hald
KH
Lauszus
Finn Friis
FF
D000032:Abortion, Therapeutic; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D017604:Cesarean Section, Repeat; D002921:Cicatrix / Q000150:complications*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014463:Ultrasonography