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Fertility and sterility · 2008

Successful term pregnancy after treatment of a cesarean scar ectopic gestation by endoscopic technique and conservative therapy.

Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Korkontzelos Ioannis, Tsirkas Panagiotis, Antoniou Nikolaos, Souliotis Dimitrios, Kosmas Ioannis

Аннотация

OBJECTIVE: To describe a case of cesarean scar pregnancy treated successfully by endoscopic technique and medical therapy.

DESIGN: Case report.

SETTING: State general hospital in a major city.

PATIENT(S): A 32-year-old woman with two cesarean sections and a recent curettage presented with ectopic cesarean scar pregnancy.

INTERVENTION(S): Transvaginal ultrasound and hysteroscopy were used for diagnosis, and conservative therapy with methotrexate and hysteroscopy to treat the patient.

MAIN OUTCOME MEASURE(S): Modified hysteroscopic technique and outcome.

RESULT(S): Sonography and hysteroscopy revealed the presence of a gestational sac in the lower segment of the uterus in a patient with a cesarean section scar. She was successfully treated with systemic methotrexate and aspiration of the sac and local methotrexate injection under endoscopic control.

CONCLUSION(S): Endoscopic intervention combined with medical treatment can result in a good therapeutic outcome with preservation of fertility in early ectopic cesarean scar pregnancy.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты