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J Reprod Med. 2011 Jul-Aug;56(7-8):356-8.

Cesarean scar ectopic pregnancy: a case report of failed combination local and systemic methotrexate management requiring surgical intervention.

Author information

1
Department of Obstetrics and Gynecology, Stony Brook University Medical Center, Stony Brook, NY 11733, USA. erin.e.stevens@gmail.com

Abstract

BACKGROUND:

Cesarean scar ectopic pregnancies have been diagnosed with increasing frequency in the last decade. There is no consensus of management for these pregnancies; however, prior reports have suggested best results using either combination methotrexate therapy or surgical excision.

CASE:

We present a case of failed systemic and local methotrexate therapy requiring operative management,

CONCLUSION:

Cesarean scar ectopic pregnancies can have disastrous outcomes, including uterine rupture, massive hemorrhage and maternal death. Although this is the first case to report a failure of the combination therapy, major morbidities did not occur. We believe this is due to our choice of expedient surgical management.

PMID:
21838169
[Indexed for MEDLINE]
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