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Re: PREGNANCY: Cesarean ectopic (update to earlier post and a question)
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Thu, 26 Jul 2007 10:23:32 -0500 (CDT)
Karen
I have never had a case such as this, so I have no clue. Please let us
know what your doctor suggests...Dr. von Almen
At Thu, 26 Jul 2007, Karen wrote:
>
>I posted a few days ago asking questions about my future fertility, but
>my situation has since changed, as has my question.
>
>An ultrasound yesterday revealed that despite undetectable hCG levels, I
>am still retained placenta increta in my cesarean section scar, 2.1 x
>2.1 x 1.5 cm. There is vascular flow to this area, but it has not grown
>(or shrunk) since my last ultrasound on 6/18/07.
>
>The doctor performing the ultrasound told me that methotrexate is not an
>option, because it works on dividing cells, and this mass is not
>dividing. (I had methotrexate when the ectopic was first diagnosed, and
>that did eliminate the viable tissue, bringing my hCG down to
>undetectable levels.) She said she wasn't sure what my doctor would
>recommend. I have an appointment scheduled to discuss with my doctor.
>
>In the meantime, can I assume that surgical removal of the tissue is
>likely to be the recommended treatment? What kind of surgery? Can you
>recommend questions I should ask of my doctor?
>
>Thank you in advance for your input.
--
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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