Outcome, complications and future fertility in women treated with uterine artery embolization and methotrexate for non-tubal ectopic pregnancy

Author(s):  
Haim Krissi ◽  
Liran Hiersch ◽  
Natan Stolovitch ◽  
Shmuel Nitke ◽  
Arnon Wiznitzer ◽  
...  
2021 ◽  
Vol 5 (06) ◽  
pp. 01-03
Author(s):  
Olivia Dziadek ◽  
Asha Bhalwal ◽  
Ramesha Papanna ◽  
Kenneth Moise ◽  
John Hardy ◽  
...  

We performed dilation and curettage and cervical balloon placement in a cervical ectopic pregnancy after treatment with Methotrexate, KCI and bilateral uterine artery embolization. A minimally invasive approach was used in the case as the patient desired future fertility. We present the potential challenges in management of cervical ectopic pregnancy as well as approaches to treatment.


Medicina ◽  
2021 ◽  
Vol 57 (5) ◽  
pp. 411
Author(s):  
Felice Sorrentino ◽  
Vincenzo De Feo ◽  
Guglielmo Stabile ◽  
Raffaele Tinelli ◽  
Maurizio Nicola D’Alterio ◽  
...  

Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy which represents a consequence of a previous cesarean section. It is associated with major maternal morbidity and mortality and has potential implications on future fertility. Because of possible serious complications, CSP should be swiftly diagnosed and treated. There is no management protocol for this rare, life-threatening condition, and each patient should be evaluated individually. Several types of conservative treatment have been used to treat cesarean scar pregnancy: dilation and curettage (D&C), excision of trophoblastic tissues, local or systemic administration of methotrexate, bilateral hypogastric artery ligation, and selective uterine artery embolization with curettage and/or methotrexate administration. In our study we present a cesarean scar pregnancy of a 40-year-old woman who was treated with angiographic uterine artery embolization (UAE) followed by hysteroscopic diode laser resection. Our combined UAE–hysteroscopic laser surgery appears to offer an effective, safe, and minimally invasive surgical treatment.


Medicine ◽  
2018 ◽  
Vol 97 (5) ◽  
pp. e9722 ◽  
Author(s):  
Juan Gao ◽  
Xiaobing Li ◽  
Jianwei Chen ◽  
Weidong Gong ◽  
Kun Yue ◽  
...  

2008 ◽  
Vol 36 (2) ◽  
pp. 123-127 ◽  
Author(s):  
Erin L. Hois ◽  
John F. Hibbeln ◽  
Marc J. Alonzo ◽  
Meri E. Chen ◽  
Maija G. Freimanis

2015 ◽  
Vol 7 (3) ◽  
pp. 143-147
Author(s):  
Santhosh Joseph ◽  
Gonnabaktula Naga Vasanthalakshmi ◽  
Usha Vishwanath ◽  
M Anitha

ABSTRACT Cesarean scar pregnancy (CSP) is the rarest type of ectopic pregnancy implanted in the myometrium at the site of the previous cesarean section scar. It may lead catastrophic complications like uterine rupture and uncontrollable hemorrhage.4 Early diagnosis can offer treatment options of avoiding uterine rupture and hemorrhage, thus, preserving the uterus and future fertility. The conservative treatment can be by local and/or systemic administration of methotrexate, dilatation and curettage, excision of trophoblastic tissues (laparoscopy/laparotomy), bilateral internal artery ligation with trophoblastic evacuation and uterine artery embolization7 combined with curettage and/ or methotrexate. We did successful treatment of a viable CSP by systemic injections of methotrexate followed by selective uterine artery embolization in combination with dilatation and curettage. How to cite this article Mehta P, Vishwanath U, Joseph S, Anitha M. Successful Management of a Scary Case of Cesarean Scar Pregnancy with Combined Treatment using Methotrexate, Uterine Artery Embolization and Suction Evacuation. J South Asian Feder Obst Gynae 2015;7(3):143-147.


2010 ◽  
Vol 20 (6) ◽  
pp. 831-835 ◽  
Author(s):  
M. Leyder ◽  
M. De Vos ◽  
B. Popovic-Todorovic ◽  
M. Dujardin ◽  
P. Devroey ◽  
...  

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