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:: Volume 25, Issue 2 (4-2020) ::
__Armaghane Danesh__ 2020, 25(2): 0-0 Back to browse issues page
Pregnancy in a Cesarean Section: A Case Study
Ellahe Bahrami_vazir Miss1 , Ameneh Mansouri Miss2 , Azizeh Farshbaf_Khalili Dr3 , Fatemeh Ghelichkhani Miss4 , Azam Mohammadi Miss 5
1- Ilam University of Medical Science, Ilam, Islamic Republic of Iran
2- Alborz University of Medical Sciences, Alborz, Islamic Republic of Iran.
3- Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.
4- Imam sajad Hospital, Shahriar, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.
5- Tehran University of Medical Sciences, Saveh, Islamic Republic of Iran. , mohammadi_a222@yahoo.com
Abstract:   (1012 Views)

Background: Caesarean scar pregnancy is rare and delay in diagnosis and treatment is associated with maternal complications, but diagnostic and treatment methods are under investigation due to its rare and there is not standard protocol for manage Caesarean scar pregnancy. The purpose of this case report study is to provide early diagnosis and treatment Caesarean scar pregnancy.
Case Report: A 34-year-old woman, gravid 2, gestational age of 8 weeks and 3 days, and history of one cesarean section with a complaint of spotting and severe abdominal pain went to the hospital. Beta-human chorionic gonadotropin was reported (β-hCG), 5600 mIU / ml. In a transvaginal ultrasonography of a gestational sac containing internal echoes without embryonic pole was seen in the previous cesarean section and in color doppler of blood flow around the gestational sac. The patient was followed for 3 days the ectopic pregnancy spontaneous abortion or to reduce the size of the gestational sac in the hospital, but dilatation and suction curettage and hysteroscopy resection was performed due to increased β-hCG. Twenty-four hours after treatment, the first β-hCG, 191 mIU / ml was reported, the next evaluation was carried out in two stages with 48-hour intervals and the rate of β-hCG had a decreasing trend. Then, one week later, it was reexamined and the rate of β-hCG was reached to 30 mIU / ml. After eleven days of follow up due to the decrease of β-hCG, the follow-up was stopped.
Conclusion: In the present patient, the caesarean scar pregnancy was diagnosed with transvaginal ultrasonography in the early stages and proper treatment with dilatation and suction curettage and hysteroscopy resection was performed.

Keywords: Ectopic Pregnancy, Cesarean section, Vacuum curettage, Hysteroscopy
Type of Study: case report | Subject: Gynaecology
Received: 2019/07/2 | Accepted: 2020/02/9 | Published: 2020/05/4
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bahrami_vazir E, Mansouri A, Farshbaf_Khalili A, Ghelichkhani F, Mohammadi A. Pregnancy in a Cesarean Section: A Case Study. Armaghane danesh. 2020; 25 (2)
URL: http://armaghanj.yums.ac.ir/article-1-2565-en.html

Volume 25, Issue 2 (4-2020) Back to browse issues page
ارمغان دانش Armaghane danesh
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