scholarly journals Value of crossover sign in anticipating under-8-week cesarean scar pregnancy treatment by foley insertion combined with suction curettage in vietnam

2021 ◽  
Vol 10 (2) ◽  
pp. 84
Author(s):  
TuanMinh Vo ◽  
HoangT Dinh ◽  
ThongP Van ◽  
ChristopherSon Nguyen
2019 ◽  
Vol 3 (1) ◽  
pp. 01-04
Author(s):  
Hend S Saleh ◽  
Hala E Sherif ◽  
Eman M Mahfouz

Objective Implantation of the pregnancy in a cesarean scar is a rare condition named ; Cesarean scar pregnancy (CSP). Maternal complications can be prevented with the early diagnosis and an appropriate management .It is a Prospective clinical study to evaluate the efficacy and success rate of single dose use of methotrexate (MTX) followed by dilation and suction (D&S) regimen in management of women with cesarean scar pregnancy (CSP) . Methods 50mg of MTX in the form of a single dose Intramuscular injection then cervical dilatation and suction aspiration with a Karman cannula(D&S) under guidance of ultrasound after 48 preeceeded by vaginal misoprostol 2 tablet (200 mg) 4 hours ago. Results The mean gestational age at diagnosis was (8.5±1.6 ) and The mean level of serum b-human chorionic gonadotropin was (7424±2.560 ) and The mean gestational age of pregnancy was (8.5±1.6 ) .88.7% is the successive rate without complication need intervention, 2 (5.7%) patients needed intrauterine Foley's catheter for 24 hours as a mechanical hemostasis . 2 (5.7 %) had laparotomy with wedge resection of the gestational sac lesion and successful repair of the uterine defect and one (2.8 %)underwent subtotal hysterectomy. Conclusion: Systemic single dose MTX injection followed by D&S is an effective and harmless management for CSP. Nevertheless more studies are required to prove the efficiency, safety, and reproductive outcome of variant modalities in treatment of CSP.


2019 ◽  
Vol 3 (3) ◽  
pp. 01-05
Author(s):  
Hend Saleh

Objective Implantation of the pregnancy in a cesarean scar is a rare condition named ; Cesarean scar pregnancy (CSP). Maternal complications can be prevented with the early diagnosis and an appropriate management .It is a Prospective clinical study to evaluate the efficacy and success rate of single dose use of methotrexate (MTX) followed by dilation and suction (D&S) regimen in management of women with cesarean scar pregnancy (CSP) . Methods 50mg of MTX in the form of a single dose Intramuscular injection then cervical dilatation and suction aspiration with a Karman cannula(D&S) under guidance of ultrasound after 48 preeceeded by vaginal misoprostol 2 tablet (200 mg) 4 hours ago. Results The mean gestational age at diagnosis was (8.5±1.6 ) and The mean level of serum b-human chorionic gonadotropin was (7424±2.560 ) and The mean gestational age of pregnancy was (8.5±1.6 ) .88.7% is the successive rate without complication need intervention, 2 (5.7%) patients needed intrauterine Foley's catheter for 24 hours as a mechanical hemostasis . 2 (5.7 %) had laparotomy with wedge resection of the gestational sac lesion and successful repair of the uterine defect and one (2.8 %)underwent subtotal hysterectomy. Conclusion: Systemic single dose MTX injection followed by D&S is an effective and harmless management for CSP. Nevertheless more studies are required to prove the efficiency, safety, and reproductive outcome of variant modalities in treatment of CSP.


Medicine ◽  
2015 ◽  
Vol 94 (18) ◽  
pp. e854 ◽  
Author(s):  
Xiaogang Zhu ◽  
Xinliang Deng ◽  
Yajun Wan ◽  
Songshu Xiao ◽  
Jiping Huang ◽  
...  

2014 ◽  
Vol 289 (6) ◽  
pp. 1171-1175 ◽  
Author(s):  
Yeşim Bayoglu Tekin ◽  
Ulku Mete Ural ◽  
Gulşah Balık ◽  
Isık Ustuner ◽  
Figen Kır Şahin ◽  
...  

2017 ◽  
Vol 50 (1) ◽  
pp. 100-104 ◽  
Author(s):  
G. Cali ◽  
F. Forlani ◽  
I. E. Timor-Tritsch ◽  
J. Palacios-Jaraquemada ◽  
G. Minneci ◽  
...  

2017 ◽  
Vol 31 (22) ◽  
pp. 2953-2958 ◽  
Author(s):  
Hüseyin Çağlayan Özcan ◽  
Mete Gurol Uğur ◽  
Özcan Balat ◽  
Seyhun Sucu ◽  
Aynur Mustafa ◽  
...  

Author(s):  
Mine Daggez ◽  
Mehmet Dolanbay

AbstractMolar pregnancy in cesarean scar is an extremely rare condition. It has a high risk of uterine rupture and bleeding. There is a small number of case reports in the literature, so the optimal diagnostic algorithms and management are not clear. We reported a 25-year-old woman who presented to our clinic with amenorrhea for 40 days and vaginal bleeding for 3 days. Transvaginal ultrasonography and serum human chorionic gonadotropin (hCG) level raised suspicion of a molar cesarean scar pregnancy (CSP). Magnetic resonance imaging (MRI) was conducted for further knowledge of the characteristics of the mass. Careful suction curettage under ultrasound guidance was performed. The histologic examination of the tissue confirmed a partial hydatidiform mole. The differential diagnosis between CSP and molar CSP is extremely challenging. Serum hCG, sonogram, and MRI are our tools, but none of them suffice for a definitive diagnosis. Histological examination of the postoperative sample is still the gold standard for the diagnosis of molar CSP; however, MRI can assist in planning the necessary interventions.


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