Therapeutic options of caesarean scar pregnancy: Case series and literature review |
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| Authors: | A.J. Marjolein Bij de Vaate MD Hans A.M. Brölmann MD PhD Johannes W. van der Slikke MD PhD Maurice G.A.J. Wouters MD PhD Roel Schats MD PhD Judith A.F. Huirne MD PhD |
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| Affiliation: | Department of Obstetrics and Gynaecology, VU University Medical Center, Amsterdam, The Netherlands |
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| Abstract: | We describe our experience with the treatment of 4 caesarean scar pregnancies and provide an overview of current literature. Four women diagnosed with a caesarean scar pregnancy in our hospital between 1996 and 2007 were treated with local or systemic methotrexate and had a steady decline of the serum β‐hCG level. The uterus was preserved in all women and 3 of them had an uneventful subsequent pregnancy and delivery. We suggest that transcervical needle aspiration of amniotic fluid followed by intra‐amniotic injection of methotrexate should be the treatment of choice, followed by surgical treatment only if methotrexate fails. © 2009 Wiley Periodicals, Inc. J Clin Ultrasound 2010 |
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| Keywords: | caesarean scar pregnancy methotrexate treatment ectopic pregnancy sonography |
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