Hysteroscopic management of cesarean scar pregnancy after unsuccessful methotrexate treatment

Angel Chao; Tzu-Hao Wang; Chin-Jung Wang; Chyi-Long Lee; An-Shine Chao

doi:10.1016/j.jmig.2005.05.004

Hysteroscopic management of cesarean scar pregnancy after unsuccessful methotrexate treatment

J Minim Invasive Gynecol. 2005 Jul-Aug;12(4):374-6. doi: 10.1016/j.jmig.2005.05.004.

Authors

Angel Chao¹, Tzu-Hao Wang, Chin-Jung Wang, Chyi-Long Lee, An-Shine Chao

Affiliation

¹ Department of Obstetrics and Gynecology, Chang Gung University, Tao-Yuan, Taiwan. angel945@adm.cgmh.org.tw

PMID: 16036203
DOI: 10.1016/j.jmig.2005.05.004

Abstract

Current management of cesarean scar pregnancy is conservative and consists of medical treatment with methotrexate (MTX). We present a report on a woman with this type of pregnancy who had continuous vaginal bleeding and persistent serum levels of beta human chorionic gonadotropin after undergoing curettage and MTX. Eventually, the remaining ectopic gestational tissue was removed by operative hysteroscopy.

Publication types

Case Reports

MeSH terms

Abortifacient Agents, Nonsteroidal / therapeutic use*
Adult
Cesarean Section*
Chorionic Gonadotropin, beta Subunit, Human / blood
Cicatrix / complications*
Female
Humans
Hysteroscopy*
Methotrexate / therapeutic use*
Pregnancy
Pregnancy, Ectopic / blood
Pregnancy, Ectopic / diagnostic imaging
Pregnancy, Ectopic / drug therapy
Pregnancy, Ectopic / surgery*
Treatment Failure
Ultrasonography, Prenatal

Substances

Abortifacient Agents, Nonsteroidal
Chorionic Gonadotropin, beta Subunit, Human
Methotrexate