Cesarean scar pregnancy: Two case report and therapeutic management algorithm
We aimed to present two cases of cesarean scar pregnancy (CSP) and a literature review to discuss their management. We reported two cases of cesarean scar pregnancy (CSP) treated in Strasbourg’s University Hospital between 2016 and 2018 and carried out an updated literature review concerning their t...
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| Veröffentlicht in: | Journal of gynecology obstetrics and human reproduction 2021-04, Vol.50 (4), p.102056-102056, Article 102056 |
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| container_issue | 4 |
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| container_title | Journal of gynecology obstetrics and human reproduction |
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| creator | Legris, Marie-Laure Gabriele, Victor Host, Aline Akladios, Chérif Garbin, Olivier Lecointre, Lise |
| description | We aimed to present two cases of cesarean scar pregnancy (CSP) and a literature review to discuss their management.
We reported two cases of cesarean scar pregnancy (CSP) treated in Strasbourg’s University Hospital between 2016 and 2018 and carried out an updated literature review concerning their treatment.
The first case is a superficial implantation CSP managed by methotrexate (MTX) then ligation of the uterine arteries and echo-guided aspiration. The second case is a deep implantation CSP managed by MTX and then laparoscopic excision with clamping of the uterine arteries. In the literature, the most commonly used treatments are: MTX, echo-guided aspiration, and the combination of uterine artery embolization followed by echo-guided aspiration.
We established an algorithm in which CSP treatment by MTX can be considered alone if criteria are met. If not, surgery, chosen according to the depth of implantation, will be associated with MTX with a preventive hemostasis procedure by embolization or ligation of the uterine arteries. |
| doi_str_mv | 10.1016/j.jogoh.2020.102056 |
| format | Article |
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We reported two cases of cesarean scar pregnancy (CSP) treated in Strasbourg’s University Hospital between 2016 and 2018 and carried out an updated literature review concerning their treatment.
The first case is a superficial implantation CSP managed by methotrexate (MTX) then ligation of the uterine arteries and echo-guided aspiration. The second case is a deep implantation CSP managed by MTX and then laparoscopic excision with clamping of the uterine arteries. In the literature, the most commonly used treatments are: MTX, echo-guided aspiration, and the combination of uterine artery embolization followed by echo-guided aspiration.
We established an algorithm in which CSP treatment by MTX can be considered alone if criteria are met. If not, surgery, chosen according to the depth of implantation, will be associated with MTX with a preventive hemostasis procedure by embolization or ligation of the uterine arteries.</description><identifier>ISSN: 2468-7847</identifier><identifier>EISSN: 2468-7847</identifier><identifier>DOI: 10.1016/j.jogoh.2020.102056</identifier><identifier>PMID: 33401027</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Algorithm of treatment ; Cesarean scar pregnancy ; Hemostatic procedure ; Methotrexate ; Surgery</subject><ispartof>Journal of gynecology obstetrics and human reproduction, 2021-04, Vol.50 (4), p.102056-102056, Article 102056</ispartof><rights>2021 Elsevier Masson SAS</rights><rights>Copyright © 2021 Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-e0bc12221c8d0bcd5b9d21865070f828a84c1e5b8844dfb91eb2703975629753</citedby><cites>FETCH-LOGICAL-c404t-e0bc12221c8d0bcd5b9d21865070f828a84c1e5b8844dfb91eb2703975629753</cites><orcidid>0000-0002-7993-1160</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33401027$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Legris, Marie-Laure</creatorcontrib><creatorcontrib>Gabriele, Victor</creatorcontrib><creatorcontrib>Host, Aline</creatorcontrib><creatorcontrib>Akladios, Chérif</creatorcontrib><creatorcontrib>Garbin, Olivier</creatorcontrib><creatorcontrib>Lecointre, Lise</creatorcontrib><title>Cesarean scar pregnancy: Two case report and therapeutic management algorithm</title><title>Journal of gynecology obstetrics and human reproduction</title><addtitle>J Gynecol Obstet Hum Reprod</addtitle><description>We aimed to present two cases of cesarean scar pregnancy (CSP) and a literature review to discuss their management.
We reported two cases of cesarean scar pregnancy (CSP) treated in Strasbourg’s University Hospital between 2016 and 2018 and carried out an updated literature review concerning their treatment.
The first case is a superficial implantation CSP managed by methotrexate (MTX) then ligation of the uterine arteries and echo-guided aspiration. The second case is a deep implantation CSP managed by MTX and then laparoscopic excision with clamping of the uterine arteries. In the literature, the most commonly used treatments are: MTX, echo-guided aspiration, and the combination of uterine artery embolization followed by echo-guided aspiration.
We established an algorithm in which CSP treatment by MTX can be considered alone if criteria are met. If not, surgery, chosen according to the depth of implantation, will be associated with MTX with a preventive hemostasis procedure by embolization or ligation of the uterine arteries.</description><subject>Algorithm of treatment</subject><subject>Cesarean scar pregnancy</subject><subject>Hemostatic procedure</subject><subject>Methotrexate</subject><subject>Surgery</subject><issn>2468-7847</issn><issn>2468-7847</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kE1PwzAMhiMEYtPYL0BCPXLpSNK0TZE4oIkvaYjL7lGauF2rtilJC9q_J6MDceJiW_b72vKD0CXBK4JJclOvalOa3YpieuhQHCcnaE5ZwsOUs_T0Tz1DS-dqjDHhNEmi5BzNoohhb0rn6HUNTlqQXeCUtEFvoexkp_a3wfbTBEo6CCz0xg6B7HQw7MDKHsahUkErO1lCC50fNaWx1bBrL9BZIRsHy2NeoO3jw3b9HG7enl7W95tQMcyGEHCuCKWUKK59qeM805TwJMYpLjjlkjNFIM45Z0wXeUYgpymOsjROqA_RAl1Pa3tr3kdwg2grp6BpZAdmdIKyNI4jQjLspdEkVdY4Z6EQva1aafeCYHEgKWrxTVIcSIqJpHddHQ-MeQv61_PDzQvuJgH4Lz8qsMKpCjoFurKgBqFN9e-BL9RBhFI</recordid><startdate>202104</startdate><enddate>202104</enddate><creator>Legris, Marie-Laure</creator><creator>Gabriele, Victor</creator><creator>Host, Aline</creator><creator>Akladios, Chérif</creator><creator>Garbin, Olivier</creator><creator>Lecointre, Lise</creator><general>Elsevier Masson SAS</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7993-1160</orcidid></search><sort><creationdate>202104</creationdate><title>Cesarean scar pregnancy: Two case report and therapeutic management algorithm</title><author>Legris, Marie-Laure ; Gabriele, Victor ; Host, Aline ; Akladios, Chérif ; Garbin, Olivier ; Lecointre, Lise</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-e0bc12221c8d0bcd5b9d21865070f828a84c1e5b8844dfb91eb2703975629753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Algorithm of treatment</topic><topic>Cesarean scar pregnancy</topic><topic>Hemostatic procedure</topic><topic>Methotrexate</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Legris, Marie-Laure</creatorcontrib><creatorcontrib>Gabriele, Victor</creatorcontrib><creatorcontrib>Host, Aline</creatorcontrib><creatorcontrib>Akladios, Chérif</creatorcontrib><creatorcontrib>Garbin, Olivier</creatorcontrib><creatorcontrib>Lecointre, Lise</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gynecology obstetrics and human reproduction</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Legris, Marie-Laure</au><au>Gabriele, Victor</au><au>Host, Aline</au><au>Akladios, Chérif</au><au>Garbin, Olivier</au><au>Lecointre, Lise</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cesarean scar pregnancy: Two case report and therapeutic management algorithm</atitle><jtitle>Journal of gynecology obstetrics and human reproduction</jtitle><addtitle>J Gynecol Obstet Hum Reprod</addtitle><date>2021-04</date><risdate>2021</risdate><volume>50</volume><issue>4</issue><spage>102056</spage><epage>102056</epage><pages>102056-102056</pages><artnum>102056</artnum><issn>2468-7847</issn><eissn>2468-7847</eissn><abstract>We aimed to present two cases of cesarean scar pregnancy (CSP) and a literature review to discuss their management.
We reported two cases of cesarean scar pregnancy (CSP) treated in Strasbourg’s University Hospital between 2016 and 2018 and carried out an updated literature review concerning their treatment.
The first case is a superficial implantation CSP managed by methotrexate (MTX) then ligation of the uterine arteries and echo-guided aspiration. The second case is a deep implantation CSP managed by MTX and then laparoscopic excision with clamping of the uterine arteries. In the literature, the most commonly used treatments are: MTX, echo-guided aspiration, and the combination of uterine artery embolization followed by echo-guided aspiration.
We established an algorithm in which CSP treatment by MTX can be considered alone if criteria are met. If not, surgery, chosen according to the depth of implantation, will be associated with MTX with a preventive hemostasis procedure by embolization or ligation of the uterine arteries.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>33401027</pmid><doi>10.1016/j.jogoh.2020.102056</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-7993-1160</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2468-7847 |
| ispartof | Journal of gynecology obstetrics and human reproduction, 2021-04, Vol.50 (4), p.102056-102056, Article 102056 |
| issn | 2468-7847 2468-7847 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2475531190 |
| source | Alma/SFX Local Collection |
| subjects | Algorithm of treatment Cesarean scar pregnancy Hemostatic procedure Methotrexate Surgery |
| title | Cesarean scar pregnancy: Two case report and therapeutic management algorithm |
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