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- W2978438082 abstract "Previous Caesarean scar pregnancy (CSP) is account for 6% of ectopic pregnancies. Although previous CSP is a strong risk factor, the exact risk of reccurence is unknow. We present a case of successful term pregnancy after treatment of CSP with infusion of methotrexate in the gestational sac. We present a case with Caesarean scar ectopic pregnancy with live embryo in 9th. The patient wastreated with injection of methotrexate in the gestational sac after fetocide using KCL under ultrasound guidance. Only one dose of methotrexate 25mg was needed. Levels of βhCG was monitored in maternal blood. Both cases were followed up with ultrasound. The patient reported complete abortion of pregnancy 65 days later with no complications. The patient conceived spontaneously 18 months after treatment. She delivered by cesarean section at thw 38th week of pregnancy. In conclusion, management of Caesarean scar pregnancy with local infusion of methotrexate is a safe and effective treatment especially in women who desire fertility preservation. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
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- W2978438082 date "2019-09-30" @default.
- W2978438082 modified "2023-09-27" @default.
- W2978438082 title "EP28.23: Successful term pregnancy after previous treatment of Caesarean scar ectopic pregnancy with methotrexate infusion into the gestational sac" @default.
- W2978438082 doi "https://doi.org/10.1002/uog.21712" @default.
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