Expectant management of heterotopic cesarean scar pregnancy / 中华医学杂志(英文版)
Chinese Medical Journal
; (24): 1341-1344, 2012.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-269247
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>BACKGROUND</b>Heterotopic cesarean scar pregnancy (HCSP) is a very rare but life-threatening entity and there is no optimal management strategy. Here we report a successfully managed case of HCSP with expectant treatment in a tertiary referral hospital.</p><p><b>METHODS</b>A woman with HCSP after in vitro fertilization-embryo transfer opted for expectant treatment after five days of mild bleeding and ultrasound demonstrated cardiac activity disappearance of the scar pregnancy at 8(+4) weeks of gestation.</p><p><b>RESULTS</b>The patient had mild to moderate bleeding during close monitoring. Three days later, speculum examination revealed the gestational mass was partly protruding at the os of the cervix and it was removed with forceps without massive hemorrhage. A healthy male baby was delivered by cesarean section at gestational age of 36(+4) weeks.</p><p><b>CONCLUSIONS</b>The expectant method might be an alternative option for a HCSP with loss of cardiac activity of the scar pregnancy, when applied under supportive management and with available emergency surgery facilities.</p>
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Gravidez Ectópica
/
Diagnóstico por Imagem
/
Resultado da Gravidez
/
Fertilização in vitro
/
Ultrassonografia
/
Transferência Embrionária
Tipo de estudo:
Estudo diagnóstico
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
/
Gravidez
Idioma:
Inglês
Revista:
Chinese Medical Journal
Ano de publicação:
2012
Tipo de documento:
Artigo