title: Successful conservative treatment of a cesarean scar pregnancy with systemically administered methotrexate and subsequent dilatation and curettage: a case report.
abstract: Cesarean scar pregnancy is a rare type of ectopic pregnancy associated with severe complications such as uterine rupture, uncontrollable bleeding which may lead to hysterectomy, and definitive infertility. Many therapeutic options are available such as Dilatation & Curetage, excision of trophoblastic tissues using either laparotomy or laparoscopy, systemically administered Methotrexate, and more recently uterine artery embolization. The use of Methotrexate sometimes required laparotomy later because of severe hemorrhage. Through this paper, we demonstrated that viable cesarean scar pregnancy can be managed safely by systemically delivered Methotrexate at the cost of a prolonged followup.
authors.affiliation: Department of Obstetrics and Gynecology, Aziza Othmana University Hospital (Medical University of Tunis), Place du Gouvernement, La Kasba, 1008 Tunis, Tunisia.
authors.forename: Anis
authors.initials: A
authors.lastname: Fadhlaoui
authors.forename: Mohamed
authors.initials: M
authors.lastname: Khrouf
authors.forename: Khaled
authors.initials: K
authors.lastname: Khémiri
authors.forename: Kais
authors.initials: K
authors.lastname: Nouira
authors.forename: Anis
authors.initials: A
authors.lastname: Chaker
authors.forename: Fethi
authors.initials: F
authors.lastname: Zhioua