处理三次剖宫产疤痕妊娠:一例报告强调手术和医疗干预。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Aida Najafian, Soghra Fallahi, Maral Arbabzadeh Boroujeni, Seyede Irandokht Nohi, Mahdieh Modarresi
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引用次数: 0

摘要

本病例报告提出一名37岁妇女,既往有三次剖宫产史,被诊断为剖宫产瘢痕妊娠,涉及三个独立的妊娠囊。治疗方法包括宫腔镜手术干预和药物治疗,如利多卡因注射和甲氨蝶呤。密切监测β - hcg水平和超声检查在跟踪患者进展和确认妊娠成功解决方面发挥了至关重要的作用。患者的恢复和治疗后β - hcg水平的正常化突出了及时干预和全面随访护理在剖宫产瘢痕妊娠管理中的重要性。本病例报告强调了个体化治疗策略和以患者为中心的护理的重要性,以实现受这种疾病影响的个人的最佳结果。目的是强调诊断挑战,讨论管理方法,并强调个性化护理在剖宫产疤痕妊娠的重要性。该报告还寻求加强对这种罕见但可能危及生命的疾病的了解,强调及时诊断和量身定制治疗策略的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Managing Triple Cesarean Scar Pregnancy: A Case Report Highlighting Surgical and Medical Interventions

Managing Triple Cesarean Scar Pregnancy: A Case Report Highlighting Surgical and Medical Interventions

This case report presents a 37-year-old woman with a history of three previous cesarean sections, who was diagnosed with a cesarean scar pregnancy involving three separate gestational sacs. The management included a combination of surgical intervention via hysteroscopy and medical treatments such as lidocaine injections and methotrexate administration. Close monitoring of beta-hCG levels and ultrasound examinations played a crucial role in tracking the patient's progress and confirming the successful resolution of the pregnancy. The patient's recovery and the normalization of beta-hCG levels post-treatment highlight the importance of timely intervention and comprehensive follow-up care in managing cesarean scar pregnancies. This case report underscores the importance of individualized treatment strategies and patient-centered care in achieving optimal outcomes for individuals affected by this condition. The objectives are to highlight the diagnostic challenges, discuss the management approach, and emphasize the importance of personalized care in cesarean scar pregnancies. The report also seeks to enhance understanding of this rare but potentially life-threatening condition, emphasizing the necessity for prompt diagnosis and tailored treatment strategies.

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来源期刊
Clinical Case Reports
Clinical Case Reports MEDICINE, GENERAL & INTERNAL-
自引率
14.30%
发文量
1268
审稿时长
13 weeks
期刊介绍: Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).
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