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Homayoun, S., Thomas, R., Beth, W. R., Katherine, H. C., Christina, M. D., Marsha, K. G., Pinar, H. K. and Errol, R. N. (2010) Cesarean scar ectopic pregnancy: Case series and review of the literature. American Journal of Perinatology, 27, 111-120. doi:10.1055/s-0029-1224874

has been cited by the following article:

• TITLE: Local metothrexate treatment of cesarean scar ectopic pregnancy

  AUTHORS: Davut Güven, Kadir Bakay, A. Sertaç Batıoğlu

  KEYWORDS: Ectopic Pregnancy; Cesarean Section Scar; Local MTX Treatment

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.2 No.4, November 9, 2012

  ABSTRACT: Myometrial pregnancy developing in a previous caesarean section scar is the rarest of all ectopic pregnancies (EP) and probably one of the most dangerous of all because of the risk of rupture and hemorrhage. The recent recognition of this problem means that diagnosis and management are still in their infancy, and there is no consensus regarding the best management of CSP. Methotrexate (MTX) can be administered systemically or locally, or in both ways, with the aid of ultrasound. Patients diagnosed with caesarean scar pregnancies (CSP) in our clinic underwent transvaginal treatment of ectopic pregnancy. Safe and short treatment under transvaginal ultrasonographic (USG) guidance was performed uneventfully in all cases. The operating time ranged from 5 to 10 minutes with no blood loss. Serum β-hCG (β-subunit of human chorionic gonadotrophin) levels declined to normal levels within a month, and patients were discharged without further complications in two or three hours after the procedure. Our cases show that this treatment is effective, safe, and minimally invasive for patients diagnosed with CSP.