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Case Reports
. 2010 Feb;38(2):75-84.
doi: 10.1002/jcu.20648.

Therapeutic options of caesarean scar pregnancy: case series and literature review

A J Marjolein Bij de Vaate  1 , Hans A M Brölmann, Johannes W van der Slikke, Maurice G A J Wouters, Roel Schats, Judith A F Huirne
Affiliations
Case Reports

Therapeutic options of caesarean scar pregnancy: case series and literature review

A J Marjolein Bij de Vaate et al. J Clin Ultrasound. 2010 Feb.

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 beta-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.

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