A Life Away from Home: Pregnancy at the Caesarean Section Scar
Pregnancy of the caesarean scar is one of the rare types of ectopic pregnancy. It is apregnancy implanted on a previous Caesarean Section (CS) scar. The case presented aimedto report the demography, pathophysiology, clinical presentation, most appropriate methodsof diagnosis and management, with the...
| Published in: | Philippine Scientific Journal |
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| Main Authors: | , |
| Format: | Other/Unknown Material |
| Language: | English |
| Published: |
Manila Central University Filemon D. Tanchoco Medical Foundation
2010
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| Subjects: | |
| Online Access: | http://www.philjol.info/philjol/index.php/PSJ/article/view/1620 https://doi.org/10.3860/psj.v43i1.1620 |
| Summary: | Pregnancy of the caesarean scar is one of the rare types of ectopic pregnancy. It is apregnancy implanted on a previous Caesarean Section (CS) scar. The case presented aimedto report the demography, pathophysiology, clinical presentation, most appropriate methodsof diagnosis and management, with their implications in clinical practice for this rare caseof ectopic pregnancy. This is a 30 years of age Gravida 3 Para 1 (1-0-1-1) who developedpregnancy of the CS Scar after full term delivery via the abdominal route. Patient wantedto save her uterus contemplating for future pregnancy. Bioethics committee was consulted.A conservative management thru methotrexate injection was done. After the first cycle ofthe drug, there was no resolution of the placenta and a live pregnancy was noted. Patientwas scheduled for another course of methotrexate therapy, but opted to undergo surgicalhysterectomy. A thorough study on the best management of Cesarean scar pregnancy isneeded in order to preserve fertility and reduce morbidity.DOI:10.3860/psj.v43i1.1620Philippine Scientific Journal Vol.43(1) 2010 25-29 |
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