Abstract
Bilateral Uterine Artery Chemoembolization with Methotrexate and Gelatine Foam for Caesarean Scar Pregnancy – Case Report
Highlights
Caesarean scar pregnancy (CSP) is the rarest type of ectopic pregnancy
We present a case of haemorrhage due to Caesarean scar pregnancy successfully treated with uterine artery chemoembolization (UTACE)
The uterine artery was selectively cannulated using the Progreate microcatheter; methotrexate 25mgmethotrexate was infused bilaterally(total 50 mg)administered in a slow bolus and the vessel was embolized using the gelatine foam until stasis was Citation: Pyra K, Woźniak S, Czuczwar P, Szkodziak P, Sojka M (2014) Bilateral Uterine Artery Chemoembolization with Methotrexate and Gelatine Foam for Caesarean Scar Pregnancy – Case Report
Summary
Caesarean scar pregnancy (CSP) is the rarest type of ectopic pregnancy. It is a life-threatening abnormal form of implantation of a gestational sac in the myometrium at the site of a previous Caesarean scar. It is estimated that CSP constitutes about 6% of all ectopic pregnancies in patients with a history of at least one Caesarean section. The incidence of this pathology ranges from 1/1800 to 1/2200 pregnancies and its rate is 0.15% in women with previous Caesarean sections. There are literature case reports describing successful treatment of CSP by systemic and/or local administration of methotrexate (MTX) with subsequent D&C [8,9]. We present a case of haemorrhage due to Caesarean scar pregnancy successfully treated with UTACE
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