生殖医学杂志2012，Vol.21Issue(z1)：49-51,3.DOI:10.3969/j.issn.1004-3845.2012.z1.009
Expectant management of cesarean scar pregnancy: a case report and a review of literature
Expectant management of cesarean scar pregnancy: a case report and a review of literature
Liu Hai-Yuan 1Shi Hong-hui 1Liu Zhu-Feng 1Leng Jin-hua 1Lang Jing-he1
作者信息
- 1. Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730
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摘要
Abstract
Pregnancy in previous cesarean scar is the rarest form of ectopic pregnancy.Little is known about its natural history and optimal management.All literatures except one reported that the expectant treatments for such patients were unsuccessful or led to complication.This paper presents one case of cesarean scar pregnancy (CSP)with expectant management,and discusses the value of this expectant management.The paper also appears a glimpse of the natural courses of certain cesarean scar pregnancies.A 32-year-old woman with a history of cesarean section presented to our outpatient clinic with amenorrhea and bleeding.Sonography and magnetic resonance imaging (MRI) revealed the diagnosis of CSP without viable gestation sac.The patient opted for expectant treatment.We closely monitored the patient with a detailed plan.The patient had mild bleeding during monitoring and her serum β-hCG levels dropped quickly to normal range after seven weeks.She was fully recovered with total absorption of the mixed mass in the scar of the anterior wall of uterus.If patient with CSP has no viable gestation sac and serum β-hCG levels are rapidly decreased,she can be expectantly treated.Such cesarean scar pregnancies may be naturally demised.Patient with CSP should be followed up strictly.Medical or surgical therapy should be considered prior to rupture to remove the gestational sac and retain the patient future fertility.关键词
cesarean scar pregnancy/ Expectant treatment/ Natural coursesKey words
cesarean scar pregnancy/ Expectant treatment/ Natural courses引用本文复制引用
Liu Hai-Yuan,Shi Hong-hui,Liu Zhu-Feng,Leng Jin-hua,Lang Jing-he..Expectant management of cesarean scar pregnancy: a case report and a review of literature[J].生殖医学杂志,2012,21(z1):49-51,3.
