Conservative methotrexate treatment of a scar pregnancy case: adding evidence to the evidence.

Conservative methotrexate treatment of a scar pregnancy case: adding evidence to the evidence.

Authors

  • Claudia Ligorio Department of Medical Sciences, Section of Obstetric and Gynaecology, University of Ferrara, Ferrara, Italy
  • Ugo Indraccolo Section of Obstetrics and Gynecology, Department of Reproduction and Growth, Azienda Ospedaliero-Universitaria of Ferrara, Cona, Italy
  • Danila Morano Section of Obstetrics and Gynecology, Department of Reproduction and Growth, Azienda Ospedaliero-Universitaria of Ferrara, Cona, Italy
  • Pantaleo Greco Department of Medical Sciences, Section of Obstetric and Gynaecology, University of Ferrara, Ferrara, Italy

Keywords:

Scar pregnancy, methotrexate, ultrasonographic scan, conservative treatment.

Abstract

A single case of ultrasonographic-guided local injection of methotrexate for managing scar pregnancy is reported. The outcome was successful and had no side effects. The case was reported to increase the evidence supporting this type of management.

References

1. Doroszewska K, Milewicz T, Bereza T, et al. Cesarean scar pregnancy - various methods of treatment. Folia Med Cracov 2019;59:5-14.
2. Timor-Tritsch IE, Monteagudo A, Calì G, D'Antonio F, Kaelin Agten A. Cesarean scar pregnancy: diagnosis and pathogenesis. Obstet Gynecol Clin North Am 2019;46:797-811.
3. Levin G, Zigron R, Dior UP, et al. Conservative management of Caesarean scar pregnancies with systemic multidose methotrexate: predictors of treatment failure and reproductive outcomes. Reprod Biomed Online 2019;39:827-834.
4. Cheung VY. Local methotrexate injection as a first-line treatment for Cesarean scar pregnancy: review of the literature. J Minim Invasive Gynecol 2015;22:753-758.

Downloads

Published

12-05-2021

Issue

Section

E-LETTERS: COMMENTS AND RESPONSES

How to Cite

1.
Ligorio C, Indraccolo U, Morano D, Greco P. Conservative methotrexate treatment of a scar pregnancy case: adding evidence to the evidence. Acta Biomed [Internet]. 2021 May 12 [cited 2024 Jul. 14];92(2):e2021050. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/9245