| Autor: |
Büyükkurt S., Aksungur E., Vardar M.A., Güzel A.B., Küçükgöz Güleç Ü., Kadayifçi O. |
| Přispěvatelé: |
Çukurova Üniversitesi |
| Jazyk: |
turečtina |
| Rok vydání: |
2010 |
| Předmět: |
|
| Popis: |
Cesarean scar pregnancy is a rare form of the ectopic pregnancy and its consequences may be fatal. Its treatment is based on the hysterectomy or conservative choices. Conservative modalities may be listed as surgical (low uterine segment excision with laparotomy or laparoscopy, hysteroscopy, curettage), medical [systemic or local use of methotrexate, local potassium chloride (KCI) injection] and minimally invasive interventions (selective uterine artery embolization). A cesarean scar pregnancy was tried to treat with low dose methotrexate regiment in a woman who had two cesareans previously. While this regiment was unsuccessful it was switched to the high dose methotrexate and uterine artery embolization. The bleeding during the destruction of the gestational sac was controlled with curettage and cervical balloon tamponade. Preservation of the uterus and the life of the woman are related to the early diagnosis and treatment. A combination of the many ways may be necessary in the treatment ofthe cesarean scar pregnancy. The collaboration of the ß-hCG levels as well as the progesteron levels and the presence of the cardiac activity may be more useful in the prediction of treatment success of the low dose methotrexate regiment. Copyright © 2010 by Türkiye Klinikleri. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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