Azra Amerjee
Aga Khan University and Hospital, Pakistan
Title: Controversies in the management of a live caesarean scar pregnancy: A Case report
Biography
Biography: Azra Amerjee
Abstract
Cesarean scar pregnancy (CSP) is a rare type of ectopic pregnancy needing a high index of suspicion to make an early diagnosis. Recent literature describes treatment of CSP using methotrexate (MTX). Surgical options include hysteroscopic coagulation of vessels at implantation site, laparoscopic removal of gestational sac, laparotomy with wedge resection of pregnancy; ultrasound guided suction curettage and uterine artery embolization with injection of MTX locally. However, to date no universal guidelines exist regarding its management. A case is presented of successful management of a pregnancy in a previous Caesarean section scar, with the use of systemic methotrexate followed by ultrasound guided evacuation of the uterus
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