Uterine artery embolization with methotrexate infusion as treatment for cesarean scar pregnancy. Case report

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dc.contributor.author Elito Junior, Julio [UNIFESP]
dc.contributor.author Araujo Junior, Edward [UNIFESP]
dc.contributor.author Martins Santana, Eduardo Felix [UNIFESP]
dc.contributor.author Szejnfeld, Denis [UNIFESP]
dc.contributor.author Helfer, Talita Micheletti [UNIFESP]
dc.contributor.author Nardozza, Luciano Marcondes Machado [UNIFESP]
dc.contributor.author Moron, Antonio Fernandes [UNIFESP]
dc.date.accessioned 2018-06-18T11:03:59Z
dc.date.available 2018-06-18T11:03:59Z
dc.date.issued 2013-09-01
dc.identifier http://dx.doi.org/10.11152/mu.2013.2066.153.jej1eaj2
dc.identifier.citation Medical Ultrasonography. Cluj-napoca: Soc Romana Ultrasonografe Medicina Biologie-srumb, v. 15, n. 3, p. 240-243, 2013.
dc.identifier.issn 1844-4172
dc.identifier.uri http://repositorio.unifesp.br/11600/44878
dc.description.abstract Cesarean scar pregnancy is a rare form of ectopic pregnancy. It is associated with many complications, including a high risk of massive bleeding and hysterectomy under unfavorable conditions. Conservative treatment with systemic methotrexate (MTX) has been used preferentially with the aim of allowing the patient to have a reproductive future. However, cases of complex ectopic masses in a cesarean scar with guarded prognosis demand techniques that are more effective, such as uterine artery embolization (UAE) in association with intra-arterial MTX infusion. We describe the case of a 35-year-old patient in the 8th week of pregnancy who was referred to us because of genital bleeding and suspected ectopic pregnancy in the cesarean scar. After confirmation of the diagnosis, an initial attempt at systemic treatment with MTX was made. This was abandoned due to the elevation of the hepatic transaminase level. In addition, because of the complexity of the mass and the patient's desire to preserve her reproductive capacity, it was decided to perform UAE with local MTX infusion. The procedure was performed successfully and the patient's fertility was preserved. en
dc.format.extent 240-243
dc.language.iso eng
dc.publisher Soc Romana Ultrasonografe Medicina Biologie-srumb
dc.relation.ispartof Medical Ultrasonography
dc.rights Acesso aberto
dc.subject cesarean scar pregnancy en
dc.subject ultrasound en
dc.subject magnetic resonance imaging en
dc.subject methotrexate en
dc.subject embolization en
dc.title Uterine artery embolization with methotrexate infusion as treatment for cesarean scar pregnancy. Case report en
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Fed Univ Sao Paulo UNIFESP, Dept Obstet, BR-05303000 Sao Paulo, Brazil
dc.description.affiliation Fed Univ Sao Paulo UNIFESP, Dept Imaging Diagnost, BR-05303000 Sao Paulo, Brazil
dc.description.affiliationUnifesp Fed Univ Sao Paulo UNIFESP, Dept Obstet, BR-05303000 Sao Paulo, Brazil
dc.description.affiliationUnifesp Fed Univ Sao Paulo UNIFESP, Dept Imaging Diagnost, BR-05303000 Sao Paulo, Brazil
dc.identifier.doi 10.11152/mu.2013.2066.153.jej1eaj2
dc.description.source Web of Science
dc.identifier.wos WOS:000334023600012



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