An ectopic pregnancy developing in a previous caesarian section scar

• Published in: Fertility and sterility Vol. 67; no. 2; pp. 398 - 400
• Main Authors: Godin, Pierre-Arnaud, Bassil, Salim, Donnez, Jacques
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.02.1997; Elsevier Science
• Subjects: Adult; Biological and medical sciences; caesarean section scar; Cesarean Section; Cicatrix - complications; Diseases of mother, fetus and pregnancy; Ectopic pregnancy; Female; Gynecology. Andrology. Obstetrics; Humans; Injections; Magnetic Resonance Imaging; Medical sciences; Methotrexate - therapeutic use; myometrium; Pregnancy; Pregnancy, Ectopic - complications; Pregnancy, Ectopic - diagnosis; Pregnancy, Ectopic - drug therapy; Pregnancy. Fetus. Placenta; Ultrasonography; myometrium; Ectopic pregnancy; caesarean section scar; Sonography; Human; Myometrium; Pregnancy disorders; Scar; Therapeutic abortion; Prevention; Local administration; Uterus; Female genital system; Echography; Tissue rupture; Medical imagery; Female; Potassium Chlorides; Diagnosis; Nuclear magnetic resonance; Methotrexate; Cesarean section
• ISSN: 0015-0282; 1556-5653
• DOI: 10.1016/S0015-0282(97)81930-9

To report the diagnosis and management of an ectopic pregnancy (EP) developing in a caesarean section scar. Case report. University medical school. A patient with a previous history of two caesarean sections developing an EP. Methotrexate (MTX) was administered locally under ultrasonographic guidance. Weekly screening of blood hCG levels and yolk sac resorption by endovaginal sonography. The diagnosis was suspected by vaginal echography and confirmed by magnetic resonance imaging. Local injection of KC1 and MTX provoked a progressive resorption of the pregnancy. Human chorionic gonadotropin was undetectable on day 82. To prevent uterine rupture in cases of an EP developing in a caesarean section scar, a medical approach can be proposed. Fertil Steril ® 1997;67:398-400