Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies : Case series

Pregnancy resulting from the implantation of an embryo within a scar of a previous Caesarean section is extremely rare. The diagnosis and treatment of Caesarean scar pregnancies (CSPs) are challenging and the optimal course of treatment is still to be determined. We report a case series of six patie...

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Main Authors: Sumita Datta, Chitra Jha
Format: Article
Language:English
Published: Sultan Qaboos University 2015-11-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/2089
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author Sumita Datta
Chitra Jha
author_facet Sumita Datta
Chitra Jha
author_sort Sumita Datta
collection DOAJ
description Pregnancy resulting from the implantation of an embryo within a scar of a previous Caesarean section is extremely rare. The diagnosis and treatment of Caesarean scar pregnancies (CSPs) are challenging and the optimal course of treatment is still to be determined. We report a case series of six patients with CSPs who presented to the Royal Hospital in Muscat, Oman, between October 2012 and April 2014. All of the patients were successfully treated with systemic methotrexate and five patients underwent suction evacuation either before or after the methotrexate administration. The patients were followed up for a period of 6–9 weeks after treatment and recovered completely without any significant complications. Suction evacuation with methotrexate can therefore be considered an effective treatment option with good maternal outcomes.
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spelling doaj.art-e06e7539b70349408785e79393eb6f102022-12-22T01:18:36ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282015-11-011545395452009Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies : Case seriesSumita Datta0Chitra Jha1Department of Obstetrics & Gynaecology, Royal Hospital, Muscat, OmanDepartment of Obstetrics & Gynaecology, Royal Hospital, Muscat, OmanPregnancy resulting from the implantation of an embryo within a scar of a previous Caesarean section is extremely rare. The diagnosis and treatment of Caesarean scar pregnancies (CSPs) are challenging and the optimal course of treatment is still to be determined. We report a case series of six patients with CSPs who presented to the Royal Hospital in Muscat, Oman, between October 2012 and April 2014. All of the patients were successfully treated with systemic methotrexate and five patients underwent suction evacuation either before or after the methotrexate administration. The patients were followed up for a period of 6–9 weeks after treatment and recovered completely without any significant complications. Suction evacuation with methotrexate can therefore be considered an effective treatment option with good maternal outcomes.https://journals.squ.edu.om/index.php/squmj/article/view/2089ectopic pregnancycaesarean sectionscarsuction curettagemethotrexatecase seriesoman.
spellingShingle Sumita Datta
Chitra Jha
Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies : Case series
Sultan Qaboos University Medical Journal
ectopic pregnancy
caesarean section
scar
suction curettage
methotrexate
case series
oman.
title Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies : Case series
title_full Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies : Case series
title_fullStr Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies : Case series
title_full_unstemmed Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies : Case series
title_short Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies : Case series
title_sort suction evacuation with methotrexate as a successful treatment modality for caesarean scar pregnancies case series
topic ectopic pregnancy
caesarean section
scar
suction curettage
methotrexate
case series
oman.
url https://journals.squ.edu.om/index.php/squmj/article/view/2089
work_keys_str_mv AT sumitadatta suctionevacuationwithmethotrexateasasuccessfultreatmentmodalityforcaesareanscarpregnanciescaseseries
AT chitrajha suctionevacuationwithmethotrexateasasuccessfultreatmentmodalityforcaesareanscarpregnanciescaseseries