Transvaginal sono-guided aspiration of gestational sac concurrent with a local methotrexate injection for the treatment of unruptured cesarean scar pregnancy

Archives of Gynecology and Obstetrics

Volumn 288, Issue 2, 2013, Pages 361-366

  Seow, Kok Min ^a,b   Wang, Peng Hui ^b,c   Huang, Lee Wen ^a,d   Hwang, Jiann Loung ^a,e  

^a SHIN KONG WU HO SU MEMORIAL HOSPITAL   (Taiwan)

^b NATIONAL YANG MING UNIVERSITY   (Taiwan)

^c TAIPEI VETERANS GENERAL HOSPITAL   (Taiwan)

^d FU JEN CATHOLIC UNIVERSITY   (Taiwan)

^e TAIPEI MEDICAL UNIVERSITY   (Taiwan)

Author keywords

Cesarean scar pregnancy; Local injection; Methotrexate; Sac aspiration; Transvaginal ultrasound

Indexed keywords

CHORIONIC GONADOTROPIN BETA SUBUNIT; METHOTREXATE;

ADULT; ARTICLE; ASPIRATION; BLOOD TRANSFUSION; CESAREAN SECTION; CLINICAL ARTICLE; CONSERVATIVE TREATMENT; ECTOPIC PREGNANCY; FEMALE; FOLLOW UP; GESTATIONAL AGE; GESTATIONAL SAC; GESTATIONAL SAC TRANSVAGINAL ASPIRATION; GONADOTROPIN BLOOD LEVEL; HOSPITALIZATION; HUMAN; LOCAL THERAPY; MATERNAL MORBIDITY; MATERNAL MORTALITY; MATERNAL WELFARE; OPERATION DURATION; SYSTEMIC THERAPY; TERTIARY HEALTH CARE; TRANSVAGINAL ECHOGRAPHY; TREATMENT INDICATION; UNRUPTURED CESAREAN SCAR PREGNANCY; UTERUS FUNCTION; VAGINA BLEEDING;

ABORTIFACIENT AGENTS, NONSTEROIDAL; ADULT; BLOOD LOSS, SURGICAL; CESAREAN SECTION; CHORIONIC GONADOTROPIN, BETA SUBUNIT, HUMAN; CICATRIX; FEMALE; GESTATIONAL AGE; HUMANS; METHOTREXATE; OPERATIVE TIME; PREGNANCY; PREGNANCY, ECTOPIC; SUCTION; ULTRASONOGRAPHY, INTERVENTIONAL;

EID: 84880819102     PISSN: 09320067     EISSN: 14320711     Source Type: Journal    
DOI: 10.1007/s00404-013-2765-4     Document Type: Article

References (25)

1. Seow KM, Huang LW, Lin YH, Lin MY, Tsai YL, Hwang JL (2004) Cesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol 23:247-253
2. Jurkovic D, Hillaby K, Woelfer B, Lawrence A, Salim R, Elson CJ (2003) First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar. Ultrasound Obstet Gynecol 21:220-227
3. Fylstra DL (2002) Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Surv 57:537-543
4. Nonaka M, Toyoki H, Imai A (2006) Cesarean section scar pregnancy may be the cause of serious hemorrhage after first-trimester abortion by dilatation and curettage. Int J Gynaecol Obstet 95:50-51
5. Godin PA, Bassil S, Donnez J (1997) An ectopic pregnancy developing in a previous caesarian section scar. Fertil Steril 67:398-400
6. Wang JH, Xu KH, Lin J, Xu JY, Wu RJ (2009) Methotrexate therapy for cesarean section scar pregnancy with and without suction curettage. Fertil Steril 92:1208-1213
7. Wang CN, Chen CK, Wang HS, Chiueh HY, Soong YK (2007) Successful management of heterotopic cesarean scar pregnancy combined with intrauterine pregnancy after in vitro fertilization-embryo transfer. Fertil Steril 88(706):e13-e16
8. Chiang AJ, La V, Chou CP, Wang PH, Yu KJ (2011) Ectopic pregnancy in a cesarean section scar. Fertil Steril 95:2388-2389
9. Wang CB, Tseng CJ (2006) Primary evacuation therapy for Cesarean scar pregnancy: three new cases and review. Ultrasound Obstet Gynecol 27:222-226
10. Arslan M, Pata O, Dilek TU, Aktas A, Aban M, Dilek S (2005) Treatment of viable cesarean scar ectopic pregnancy with suction curettage. Int J Gynaecol Obstet 89:163-166
11. Li H, Guo HY, Han JS et al (2011) Endoscopic treatment of ectopic pregnancy in a cesarean scar. J Minim Invasive Gynecol 18:31-35
12. Wang CJ, Yuen LT, Chao AS, Lee CL, Yen CF, Soong YK (2005) Caesarean scar pregnancy successfully treated by operative hysteroscopy and suction curettage. BJOG 112:839-840
13. Chao A, Wang TH, Wang CJ, Lee CL, Chao AS (2005) Hysteroscopic management of cesarean scar pregnancy after unsuccessful methotrexate treatment. J Minim Invasive Gynecol 12:374-376
14. Lee CL, Wang CJ, Chao A, Yen CF, Soong YK (1999) Laparoscopic management of an ectopic pregnancy in a previous Caesarean section scar. Hum Reprod 14:1234-1236
15. Wang CJ, Chao AS, Yuen LT, Wang CW, Soong YK, Lee CL (2006) Endoscopic management of cesarean scar pregnancy. Fertil Steril 85(494):e1-e4
16. Wang YL, Su TH, Chen HS (2006) Operative laparoscopy for unruptured ectopic pregnancy in a caesarean scar. BJOG 113:1035-1038
17. Hwu YM, Hsu CY, Yang HY (2005) Conservative treatment of caesarean scar pregnancy with transvaginal needle aspiration of the embryo. BJOG 112:841-842
18. Ravhon A, Ben-Chetrit A, Rabinowitz R, Neuman M, Beller U (1997) Successful methotrexate treatment of a viable pregnancy within a thin uterine scar. Br J Obstet Gynaecol 104:628-629
19. Sugawara J, Senoo M, Chisaka H, Yaegashi N, Okamura K (2005) Successful conservative treatment of a cesarean scar pregnancy with uterine artery embolization. Tohoku J Exp Med 206:261-265
20. Jurkovic D, Ben-Nagi J, Ofilli-Yebovi D, Sawyer E, Helmy S, Yazbek J (2007) Efficacy of Shirodkar cervical suture in securing hemostasis following surgical evacuation of Cesarean scar ectopic pregnancy. Ultrasound Obstet Gynecol 30(95-100):24
21. Jiang T, Liu G, Huang L, Ma H, Zhang S (2011) Methotrexate therapy followed by suction curettage followed by Foley tamponade for caesarean scar pregnancy. Eur J Obstet Gynecol Reprod Biol 156:209-211
22. Li C, Feng D, Jia C, Liu B, Zhan X (2011) Transcatheter arterial chemoembolization versus systemic methotrexate for the management of cesarean scar pregnancy. Int J Gynaecol Obstet 113:178-182
23. Yin X, Su S, Dong B, Ban Y, Li C, Sun B (2012) Angiographic uterine artery chemoembolization followed by vacuum aspiration: an efficient and safe treatment for managing complicated cesarean scar pregnancy. Arch Gynecol Obstet 285:1313-1318
24. Bignardi T, Condous G (2010) Transrectal ultrasound-guided surgical evacuation of Cesarean scar ectopic pregnancy. Ultrasound Obstet Gynecol 35:481-485
25. He M, Chen MH, Xie HZ et al (2011) Transvaginal removal of ectopic pregnancy tissue and repair of uterine defect for caesarean scar pregnancy. BJOG 118:1136-1139