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How to Treat Cesarean Scar Pregnancy: A Difficult and Rare Case

dc.contributor.authorAmbrósio, B
dc.contributor.authorFerreira, AP
dc.contributor.authorCorreia, A
dc.date.accessioned2019-05-22T14:17:23Z
dc.date.available2019-05-22T14:17:23Z
dc.date.issued2018
dc.description.abstractBackground: Cesarean scar ectopic pregnancy is a rare type of ectopic pregnancy. Due to high morbidity and mortality associated with delayed diagnosis of this condition, a high index of suspicion is important, as well as a thorough transvaginal ultrasound. There is still no consensus on the best treatment of these cases. The choice for conservative options, including medical therapy with methotrexate and transvaginal evacuation, avoids mutilating surgeries, such as hysterectomy, which can compromise women's fertility. Case: A 32-year-old patient with a cesarean scar pregnancy with a 7 weeks live embryo. Results: The patient was treated with transvaginal evacuation and a single dose of intramuscular methotrexate, after an initial attempt with medical treatment, consisting of a local injection of potassium chloride into the sac, proved to be technically impossible. Conclusions: Due to the low incidence of cesarean scar pregnancies and the nonexistence of consensus regarding their treatment, this case report can improve understanding of these pregnancies, which could lead to the establishment of new guidelines.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJournal of Gynecologic Surgery. Apr 2018, 34(2): 99-101pt_PT
dc.identifier.doi10.1089/gyn.2017.0081pt_PT
dc.identifier.issn1557-7724
dc.identifier.urihttp://hdl.handle.net/10400.10/2267
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMary Ann Liebertpt_PT
dc.subjectEctopic pregnancypt_PT
dc.subjectCesarean sectionpt_PT
dc.subjectCicatrixpt_PT
dc.titleHow to Treat Cesarean Scar Pregnancy: A Difficult and Rare Casept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceNew York, NYpt_PT
oaire.citation.titleJournal of Gynecologic Surgerypt_PT
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT

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