Pang YP, Tan WC, Yong TT, Koh PK,
Tan HK, Ho TH
Correspondence: Dr Pang Yi Ping
Cindy, cindypangyp@yahoo.com
ABSTRACT
We present a case series of four
patients with Caesarean scar pregnancies (CSPs) managed at our gynaecological
unit between October 2008 and May 2009.
Three patients were detected
while asymptomatic, and were treated with elective intragestational sac
methotrexate injections.
The last patient had presented
following complications from a termination of pregnancy for a CSP that was
misdiagnosed as intrauterine. Following treatment, this patient and another
developed arteriovenous malformation, which responded to bilateral uterine
artery embolisations and gonadotropin releasing hormone (GnRH)-agonist
treatment.
Keyword: Caesarean section, ectopic, methotrexate,
pregnancy
Singapore Med J 2012; 53(10):
638–642
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