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A large intrauterine vascular lesion developing after the successful treatment of a cesarean scar pregnancy with methotrexate injection

机译:一种大的宫内血管病变,在成功治疗甲氨蝶呤注射后的成功治疗后发育

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ABSTRACT A cesarean scar pregnancy is a rare type of ectopic pregnancy. Induced abortion by local methotrexate (MTX) injection is an effective management approach. We describe a case in which a large intrauterine vascular lesion appeared after the sonographic‐guided local injection of MTX, which successfully induced the abortion of the cesarean scar pregnancy. Although a cesarean scar pregnancy may be safely treated with a local MTX injection, close follow‐up, including serum β‐human chorionic gonadotropin level measurement and Doppler sonography, is needed because an intrauterine vascular lesion could develop even after a successfully induced abortion. ? 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46 :222–226, 2018
机译:摘要剖宫产瘢痕妊娠是一种罕见的异位妊娠。局部注射甲氨蝶呤(MTX)人工流产是一种有效的管理方法。我们描述了一个病例,在超声引导下局部注射MTX,成功地诱导了剖宫产疤痕妊娠流产后,出现了一个巨大的宫内血管病变。尽管局部注射MTX可以安全地治疗剖宫产疤痕妊娠,但需要密切随访,包括血清β-人绒毛膜促性腺激素水平测量和多普勒超声检查,因为即使在成功人工流产后也可能发生宫内血管病变?2017威利期刊有限公司临床超声46:222–2262018

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