Engelsk titel: Caesarean section scar pregnancy - various treatment alternatives
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Författare:
Storgaard T
;
Hald Frandsen K
;
Lauszus FF
Email: tina_storgaard@hotmail.com
Språk: Dan
Antal referenser: 5
Dokumenttyp:
Fallbeskrivning
UI-nummer: 06081743
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.