Indian Journal of Obstetrics and Gynecology Research


A success of cesarean scar ectopic pregnancy by conservative treatment


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Article Type : Research Article

Author Details: Geetha Krishnamoorthy,Aiyswarya*

Volume : 6

Issue : 2

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 216

Article End Page : 219


Abstract

Cesarean scar pregnancy which leads to various complications such as massive uncontrollable bleeding, rupture of uterus resulting in infertility and even hysterectomy is a rare variant of ectopic pregnancy. Cesarean scar pregnancy (CSP) is on a raising trend. The diagnosis and confirmation of CSP is by transvaginal and magnetic resonance imaging (MRI) respectively. Monitoring is by repeated checking of beta hCG values until it falls to non pregnant level and patients are followed-up with USG upto complete resolution of the pregnancy sac is evident. As CSP is very rare there is no exact guidelines for treatment approach. Here we prove that cesarean scar pregnancy can be effectively treated by administration of Methotrexate systemically if the patient comes for regular follow up.

Keywords: Conservative, Scar pregnancy, Methotrexate.

Doi :-https://doi.org/10.18231/j.ijogr.2019.049