Twin cesarean scar ectopic pregnancy treated with systemic and local methotrexate

Bringley, Johanna; Denefrio, Cassandra; Rijhsinghani, Asha

doi:10.1016/j.ajog.2016.09.080

Cited by 5 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The serum HCG of the twin ectopic pregnancy is higher than the same gestational age of singleton ectopic or intrauterine pregnancy. [4][5][6] Using transvaginal ultrasound is more sensitive and specific than transabdominal ultrasound. With ultrasound, we can visualize two gestational sac with or without separating membrane, or fetal cardiac activity.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Unilateral Twin Ectopic Pregnancy: A Case Report from the Eastern Part of Ethiopia, Harar

Gure¹

2022

IMCRJ

View full text Add to dashboard Cite

Twin ectopic pregnancy is the implantation of both embryos outside of the endometrial lining occurring in 1 in 20,000 up to 1 in 125,000 pregnancies. Commonly, twin ectopic pregnancies occur inside the fallopian tube either unilateral or bilateral. Unless early diagnosis and interventions are made, it may rupture causing intraperitoneal bleeding with a high risk of maternal death. Case Report: I am reporting a rare type of ectopic pregnancy: unilateral twin ectopic pregnancy with positive cardiac activity on the left side of the fallopian tube in a 30 years old gravida III para II mother. Left side salpingectomy was done for her and discharged from the hospital after two postoperative days. Conclusion: Twin ectopic pregnancy with a live embryo is a very rare type of pregnancy that needs a high index of suspicion to diagnose and treat early to prevent complications and maternal death.

show abstract

Section: Discussionmentioning

confidence: 99%

“…With ultrasound, we can visualize two gestational sac with or without separating membrane, or fetal cardiac activity. 6,[17][18][19][20][21] In difficult cases, we can use MRI to diagnose twin ectopic pregnancy. 22 Management of the twin ectopic pregnancy is similar to the singleton ectopic pregnancy and depends on the site of implantation.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Twin Ectopic Pregnancy: A Case Report from the Eastern Part of Ethiopia, Harar

Gure¹

2022

IMCRJ

View full text Add to dashboard Cite

show abstract

“…Most reported CSP cases are single (embryo) CSP [3][4][5][6][7]. Multiple CSP cases are rarer and generally are a result of assisted reproduction [8,9]. Unlike single and multiple CSP, CSP with intrauterine pregnancy creates a clinical dilemma in which decreasing the risk for CSP and preserving the intrauterine pregnancy are both desirable.…”

Section: Introductionmentioning

confidence: 99%

Elective embryo or fetal reduction for caesarean scar pregnancy combined with intrauterine pregnancy

Huang,

Li,

Peng

et al. 2020

Clin. Exp. Obstet. Gynecol.

View full text Add to dashboard Cite

Objective: The purpose of this study is to report and discuss the use of elective embryo reduction to treat a cesarean scar pregnancy (CSP) combined with intrauterine pregnancy after assisted reproduction, and its clinical outcomes. Material and Methods: Clinical data from six patients who were diagnosed with CSP combined with intrauterine pregnancy were retrospectively collected and analyzed. Four patients underwent elective embryo or fetal reduction following local injection of potassium chloride (reduction group), while the other two patients chose to continue their multiple pregnancies (observation group). Results: All patients were pregnant with multiple chorionic and amniotic fetuses after assisted reproduction. Mild placenta accreta was observed in one patient in the reduction group. In this group, hemorrhage volume during delivery was from 400 to 900 mL, and the average birth weight was 2,776 g. Placenta accreta spectrum occurred in both patients in the observation group, and they gave birth prematurely between 32 and 34 weeks. Conclusion: CSP combined with intrauterine pregnancy was treated using elective embryo or fetal reduction, which may improve maternal and fetal safety. Content: Outcomes of cesarean scar pregnancy with intrauterine pregnancy with or without elective embryo reduction.

show abstract

“…Uterine artery embolization (UAE) (before uterine curettage) (9), hysteroscopy combined with UAE (10), and UAE combined with methotrexate followed by curettage (11) are other recommended approaches. A recent case report indicated that they could terminate CSP with 3 intra sac, intra muscular, and intra placental injections of methotrexate (12). Comparatively, in HCSP, researchers helped to terminate CSP and preserve intrauterine pregnancy.…”

mentioning

confidence: 99%

Heterotopic Cesarean Scar Pregnancy in a Non-assisted Fertility: A Case Report

Eftekhariyazdi¹,

Moghaddam²,

Souizi³

et al. 2017

Iran Red Crescent Med J

View full text Add to dashboard Cite

Introduction: Cesarean rate increased in recent decades worldwide. One of the consequences of the increased cesarean rate and repeat cesarean is the significant increase in cesarean scar pregnancies (CSPs). Diagnosis of a CSP is more difficult when there is a heterotopic pregnancy in a non-assisted pregnancy. Case Presentation: The patient was a 34-year-old G5P2L2Ab2 referred for spotting in Shahidan Mobini hospital, Sabzevar, Iran in 2016. She had a history of 2 cesareans and 2 abortions. Three ultrasounds were performed showing a gestational sac in the lower segment of the uterus with different diagnoses: 1) with hemorrhage over it, 2) with the 2nd gestational sac over it, which was diagnosed as missed abortion, and 3) with an echo-free and irregularly region supporting the 2nd sac or a clot in the lower part of the uterus. The increased local vascularity suggested a level of placenta accreta, partial mole, or trophoblastic reaction. Since the first diagnosis was missed abortion, curettage was performed. Due to the continuation of severe bleeding, abdominal hysterectomy was performed. The patient was discharged in good condition after 3 days. Conclusions: Heterotopic CSP does not have any specific symptoms, which caused it to be easily misdiagnosed. Physicians should use precise diagnostic tests in case of controversial test results.

show abstract

Twin cesarean scar ectopic pregnancy treated with systemic and local methotrexate

Cited by 5 publications

References 5 publications

Unilateral Twin Ectopic Pregnancy: A Case Report from the Eastern Part of Ethiopia, Harar

Unilateral Twin Ectopic Pregnancy: A Case Report from the Eastern Part of Ethiopia, Harar

Elective embryo or fetal reduction for caesarean scar pregnancy combined with intrauterine pregnancy

Heterotopic Cesarean Scar Pregnancy in a Non-assisted Fertility: A Case Report

Contact Info

Product

Resources

About