Sezeryan skar gebeliğin metotreksat ile lokal tedavisi: Bir olgu sunumu

Year 2022, Volume: 47 Issue: 1, 459 - 462, 31.03.2022

İlknur Okur Akşan , Nilhan Öztürk , Dilek Yeniay

https://doi.org/10.17826/cumj.999200

Abstract

Sezaryen skar gebeliği, önceki sezaryen skarının yanında myometrium içine gebelik kesesinin yerleşmesidir, nadir görülen bir dış gebelik türüdür. Ultrason ilk ve en önemli tanı yöntemidir. Artan şüphe ve ultrasonun yaygın kullanımı çoğu sezaryen skar ektopik gebelik vakasının erken gebelik döneminde tanınmasına neden olur.Bu da hızlı müdahalelere, uterusun ve fertilitenin korunmasına olanak sağlar. Metotreksat ile medikal tedaviyi de içeren konservatif tedavilerin kullanılması, histerektomi gibi ameliyatlardan kurtarır ve kadınların fertilitesini korur. Bu yazıda 37 yaşında daha önce 3 sezeryan operasyonu geçirmiş sezaryen skar ektopik gebeliği olan hastanın transvajinal ultrason rehberliğinde metotreksat enjeksiyonu ile lokal olarak tedavisi olan olgu sunulmuştur.

Keywords

skar gebelik, metotreksat, sezeryan, ultrason

Local treatment with methotrexate of cesarean scar pregnancy: A case report

Abstract

Cesarean scar pregnancy, is the implantation of a gestational sac within the myometrium at the side of previous cesarean section scar, is a rare type of ectopic pregnancy. Ultrasonography is the first and most important diagnostic method of this condition. Increased suspicion with widespread use of ultrasound lead to the recognition of most cases of Cesarean scar pregnancy in early pregnancy. This allows for rapid interventions and preservation of the uterus and fertility. The use of conservative treatments, including medical treatment, especially with methotrexate, saves from surgeries such as hysterectomy and preserves women's fertility. In this study, we presented a case of cesarean scar pregnancy which was successfully treated with transvaginal ultrasound-guided injection of methotrexate.

Keywords

Scar pregnancy methotrexate, cesarean section, ultrasound

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