IMR Press / CEOG / Volume 34 / Issue 3 / pii/2007056

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report

Successful medical treatment of cesarean scar pregnancy: a case report

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1 Department of Obstetrics and Gynecology, Zeynep Ka mil Women and Children's Hospital, Istanbul (Turkey)
Clin. Exp. Obstet. Gynecol. 2007, 34(3), 195–196;
Published: 10 September 2007

Objective: Cesarean scar pregnancy is implantation of the pregnancy within the fibrous tissue of the cesarean scar which is com­pletely surrounded by myometrium. Method and Result: A 32-year-old woman, gravida 2, para 1 presented at our emergency depart­ment with mild lower abdominal pain and minimal vaginal bleeding. She was diagnosed with cesarean scar pregnancy. Conservative treatment with methotrexate 50 mg/m2 was administered IM on days O and 8. Her βHCG value was zero at the 14th week after beginning of the treatment. Conclusion: Repeated methotrexate administration in the management of cesarean scar pregnancy should be attempted in informed patients who especially desire fertility and can be closely followed up. 

Pregnancy cesarean scar pregnancy
Conservative treatment
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