首页> 外文期刊>Open Journal of Obstetrics and Gynecology >Cervico-Isthmic Pregnancy on Cesarean Scar Successful Treated with Methotrexate, Mifepristone and Misoprostol: A Case Report
【24h】

Cervico-Isthmic Pregnancy on Cesarean Scar Successful Treated with Methotrexate, Mifepristone and Misoprostol: A Case Report

机译:Cesarean瘢痕的宫颈妊娠成功用甲氨蝶呤治疗,米非司酮和米索前列醇治疗:案例报告

获取原文
           

摘要

Introduction: Cervico-isthmic pregnancy is rare, and serious because of its hemorrhagic complication. Its management varies according to the teams. Observation: We report a case of cervico-isthmic pregnancy on a cesarean scar. This is a 35-year - old, G2P2, who consulted for bleeding from the 1st trimester of pregnancy. The clinical examination found a minimal uterine bleeding. The diagnosis was made by a vaginal ultrasound which found a cervico-isthmic implantation of the pregnancy on the caesarean scar. A protocol of Mifepristone and Misoprostol followed by administration of a single dose of 1 mg/kg of Methotrexate was performed. Cure was obtained 1 month after treatment by negativation of plasma HCG. No bleeding complications were noted. A follow-up ultrasound performed 2 months later showed a uterine vacuity and the presence of an isthmocoele. It was in fact a pregnancy that had implanted in the isthmocoele. Conclusion: Cervico-isthmic pregnancy is rare. His treatment is not codified. Drug management was successful .
机译:引言:由于其出血并发症,宫颈妊娠是罕见的,严重的。它的管理层根据团队而异。 观察:我们报告了剖腹产瘢痕上的宫颈妊娠病例。这是一个35岁的G2P2,他咨询了妊娠1次三个月的出血。临床检查发现最小的子宫出血。阴道超声进行诊断,该阴道超声发现患剖腹产瘢痕上的妊娠儿的宫颈植入。进行米非司酮和米索前列醇的方案,然后进行施用单剂量为1mg / kg / kg甲氨蝶呤。通过释放血浆HCG治疗后1个月获得治愈。没有注意到出血并发症。在2个月后进行后续超声显示出子宫阳性和存在的肌醇。事实上,它植入了血管内的怀孕。 结论:宫颈白血病妊娠很少见。他的治疗未被编纂。药物管理成功。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号