Cesarean scar pregnancy-outcome of intra-amniotic methotrexate injection and managing it's toxicity

Registration ID: IJNRD_208064

Published ID: IJNRD2311051

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Ritambhara Ratnapriya , Swati Aggarwal

Cesarean scar pregnancy,conservative management, methotrexate injection

Cesarean scar ectopic pregnancy is becoming increasingly common in tertiary care hospitals.It is a very rare type of ectopic pregnancy but it’s dreadful because of it’s association with complications like uterine rupture,uncontrollable bleeding leading to hysterectomy.There is an increase in maternal morbidity and mortality and subsequent infertility.We are reporting a case of a 29 yr female G4P1L1A2 with USG diagnosed cesarean scar ectopic pregnancy who was managed with intra-amniotic injection of methotrexate under USG guidance with successful outcome.However, she developed methotrexate toxicity in post procedure period which was treated by giving inj filgrastim. We conclude that conservative approaches for treatment of cesarean scar ectopics should be preferred over surgical approaches.Post treatment surveillance include serial β-hCG measurements and ultrasound examinations as indicated.

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Ritambhara Ratnapriya & Swati Aggarwal (November-2023). Cesarean scar pregnancy-outcome of intra-amniotic methotrexate injection and managing it's toxicity. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 8(11), a466-a470. https://ijnrd.org/papers/IJNRD2311051.pdf

Volume 8 Issue 11, November-2023

Pages : a466-a470

Paper Reg. ID: IJNRD_208064

Published Paper Id: IJNRD2311051

Downloads: 000121993

Research Area: Medical Science

Country: Sheikhpura ., BIHAR, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2311051.pdf

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Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

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