28 December 2020: Articles
Use of Magnetic Resonance Imaging (MRI) in the Management of Diagnostic Uncertainty in Low-Resource Settings: A Case Report of Cesarean Ectopic Pregnancy in a Tertiary Hospital in Ghana
Management of emergency care
Anna Sarah Erem A* , Thomas Okpoti Konney A , Adu Appiah-Kubi A , Kwasi Ankomah A , Adu Tutu Amankwa B , John Jude Kweku Annan B , Augustine Tawiah B , Benjamin Kwame Amoako-Adjei B , Kwabena Fosu Lartey B , Emma R. Lawrence ADOI: 10.12659/AJCR.927496
Am J Case Rep 2020; 21:e927496
Figure 5. Cesarean scar ectopic pregnancy (CSEP) lower- and middle-income countries (LMIC) Flowchart. * Operative management options in LMICs include laparotomy or laparoscopy depending on hospital resources. ** Medical management options in LMIC include systemic methotrexate (MTX) and/or intra-gestational sac injection of MTX or potassium chloride (KCl) depending on ability for close follow-up and hospital resources. BHCG – beta-human chorionic gonadotropin; TVUS – transvaginal ultrasound; ABD US – abdominal ultrasound; CSEP – cesarean scar ectopic pregnancy; MRI – magnetic resonance imaging; DX – diagnosis.