Successful management of caesarean scar live ectopic pregnancies with local KCL and systemic methotrexate

Two cases of live caesarean scar ectopic pregnancies are presented. Beta human chorionic gonadotropin (b-hCG) values in both patients at presentation were 50 099 mIU and 297 969 mIU, respectively. Both were managed with intrasac potassium chloride injection to induce fetal demise and multiple dose m...

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Veröffentlicht in:	BMJ case reports 2017-10, Vol.2017, p.bcr-2017-221844
Hauptverfasser:	Gupta, Monica, Kriplani, Alka, Mahey, Reeta, Kriplani, Isha
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Abortifacient Agents, Nonsteroidal - therapeutic use Adult Case reports Cesarean Section Cicatrix - diagnostic imaging Female Fetuses Humans Infertility Laparoscopy Methotrexate - therapeutic use Miscarriage Patients Potassium Potassium Chloride - therapeutic use Pregnancy Pregnancy complications Pregnancy, Ectopic - diagnostic imaging Pregnancy, Ectopic - drug therapy Rare Disease Reproductive technologies Trends Ultrasonography - methods
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Zusammenfassung:	Two cases of live caesarean scar ectopic pregnancies are presented. Beta human chorionic gonadotropin (b-hCG) values in both patients at presentation were 50 099 mIU and 297 969 mIU, respectively. Both were managed with intrasac potassium chloride injection to induce fetal demise and multiple dose methotrexate therapy. The time for b-hCG to become negative in both patients was 91 days and 119 days, respectively. Successful management of live caesarean scar pregnancies even with very high b-hCG is possible with minimally invasive approach.
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2017-221844