Case Reports in Women's Health (Oct 2022)

Methotrexate therapy followed by laparotomy to manage a viable first-trimester cesarean scar ectopic pregnancy in a low-resource setting: A case report

  • Abhigan Babu Shrestha,
  • Sajina Shrestha,
  • Ariful Islam Ovi,
  • Tasnim Ayesha,
  • Sima Basak,
  • Minara Parvin Soma,
  • Mst. Irine Parvin

DOI
https://doi.org/10.1016/j.crwh.2022.e00454
Journal volume & issue
Vol. 36
p. e00454

Abstract

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Cesarean scar ectopic pregnancy (CSEP) is rare, occurring in 1:1800 to 1:2625 pregnancies. It is classified into two types: endogenous, which grows inside the uterine cavity; and exogenous, which grows outward, toward the bladder. Both types are associated with increased maternal morbidity and mortality. The case report describes a 25-year-old woman with a viable first-trimester CSEP treated with both methotrexate and operative resection. Management was in a low-resource setting.

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