A case analysis of conservative treatment of a cesarean scar pregnancy combined with uterine apoplexy

WU Yue; WANG Aihua; HAN Chaohong; FENG Xin

doi:10.3969/j.issn.1006-0111.2016.06.017

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Objective To study the conservative treatment for cesarean scar pregnancy (CSP) with proper medications. Methods One case of CSP with uterine apoplexy was reported. Medication regimens were illustrated as the conservative treatments for the patient with β-HCG>20 000 IU/L, in whom surgery was contraindicated. Results After two times of uterine artery embolization and chemotherapy (MTX50 mg), followed by three times of MTX50 mg cervical injection combined with oral mifepristone, serum β-HCG dropped to normal level and no adverse reactions were observed. Conclusion Clinical pharmacists could strengthen the safety and effectiveness of rational drug use by participating in the integrated pharmacy care.

A case analysis of conservative treatment of a cesarean scar pregnancy combined with uterine apoplexy

1. Department of Pharmacy, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, China;Department of Pharmacy, Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University, Beijing 100006, China

2. Department of Pharmacy, Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University, Beijing 100006, China

Received Date: 2016-05-04

Rev Recd Date: 2016-09-01

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Abstract: Objective To study the conservative treatment for cesarean scar pregnancy (CSP) with proper medications. Methods One case of CSP with uterine apoplexy was reported. Medication regimens were illustrated as the conservative treatments for the patient with β-HCG>20 000 IU/L, in whom surgery was contraindicated. Results After two times of uterine artery embolization and chemotherapy (MTX50 mg), followed by three times of MTX50 mg cervical injection combined with oral mifepristone, serum β-HCG dropped to normal level and no adverse reactions were observed. Conclusion Clinical pharmacists could strengthen the safety and effectiveness of rational drug use by participating in the integrated pharmacy care.

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A case analysis of conservative treatment of a cesarean scar pregnancy combined with uterine apoplexy

doi: 10.3969/j.issn.1006-0111.2016.06.017

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