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En graviditet i en sectiocikatrice - mange behandlingsmuligheder
Engelsk titel: Caesarean section scar pregnancy - various treatment alternatives Läs online Författare: Storgaard T ; Hald Frandsen K ; Lauszus FF Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 06081743

Tidskrift

Ugeskrift for Laeger 2006;168(34)2820-1 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Pregnancy in a Caesarean section scar is rare but possibly life-threatening because of the risk of rupture and excessive bleeding. We describe here a case of a pregnant woman with previous Caesarean section. She had no symptoms of ectopic pregnancy, but a transvaginal sonography showed a live seven-week pregnancy in the Caesarean section scar. To terminate the pregnancy and conserve the uterus, she was treated medically with methotrexate and mifepristone, with no effect. Transvaginal intrathoracic injection of 1 mmol of potassium chloride was then performed. After this, the patient's serum HCG level dropped.