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CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2015; 02(02): 79-81
DOI: 10.1007/s40556-015-0050-2
Brief Communication

The Successful Saga of a Cesarean Scar Ectopic with High βHCG Level

Tanya B. Rohatgi
1   Department of IVF, Reproductive Medicine, Assisted Reproductive Techniques & IVF, Max Multi Speciality Centre, Panchsheel, Delhi, India
2   Max Super Speciality Hospital, Saket, Delhi, India
3   The Woman Clinic, Indraprastha Apollo Hospital and Fortis La Femme, Delhi, India
,
Kamal Buckshee
3   The Woman Clinic, Indraprastha Apollo Hospital and Fortis La Femme, Delhi, India
4   Department of Obstetrics & Gynaecology, Indraprastha Apollo Hospital and Fortis La Femme, Delhi, India
5   House No. 46, Sector 15A, 201301, Noida, U.P., India
,
Reeti Sahni
6   Radiology Department, Indraprastha Apollo Hospital, Delhi, India
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Abstract

Cesarean scar ectopic (CSE) is a rare life-threatening condition associated with hemorrhage, uterine rupture, disseminated intravascular coagulation or death during pregnancy. A rampant increase is worrisome. Early diagnosis is critical; awareness and high index of suspicion are essential. We report a 34-year-old woman with two previous cesarean sections, who was diagnosed to have an unruptured, viable CSE with high βHCG level (49,637. 08 mIU/mL). Local as well as systemic methotrexate failed initially. However, success was achieved when modified medical treatment was adopted.

Keywords

Cesarean scar - Ectopic pregnancy - Methotrexate


Publication History

Received: 24 April 2015

Accepted: 31 July 2015

Article published online:
08 May 2023

© 2015. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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