Novel Combination Treatment with Ultrasound Guided Direct Intra-gestational Sac Potassium Chloride Injection for Treatment for Cesarean Scar Ectopic Pregnancy: A Case Series of Success
Tuesday, April 9, 2024
7:47am – 7:54am
Location: 410
Authors: Amy Hua, Flushing Hospital Medical Center Ivan Ngai, Flushing Hospital medical center Mengyang Sun, Flushing Hospital Medical Center
Cesarean scar ectopic pregnancies (CSEP) are rare and potentially life-threatening complications that are increasingly common due to higher cesarean delivery rates. CSEP is a complication where an early pregnancy implants in the scar from a previous cesarean delivery. CSEP can be difficult to diagnose in a timely fashion. Ultrasound is currently the primary imaging modality for CSEP diagnosis. Expectant management of CSEP is associated with severe maternal morbidity including hemorrhage, placenta accreta spectrum (PAS), and uterine rupture. Definitive surgical or medical management is recommended after CSEP diagnosis. Several surgical and medical treatments have been described for this disorder. However, optimal management of CSEP has not yet been determined. Direct intra-gestational injection with potassium chloride (KCL) under ultrasound guidance has only been described in a limited number of literature case reports. We show that this approach can be used successfully in a community hospital setting with a diverse patient population with a low rate of complications and high rate of success.