Successful treatment with methotrexate injection on ectopic pregnancy embedded in the myometrium of a previous cesarean section scar.

Lee, Sang Hee; Kim, Jee Hye; Cha, Sun Hee

Original Article

Korean Journal of Obstetrics & Gynecology 1999;42(8):1820-1822.
Published online January 1, 2001.

Successful treatment with methotrexate injection on ectopic pregnancy embedded in the myometrium of a previous cesarean section scar.

Sang Hee Lee, Jee Hye Kim, Sun Hee Cha

Abstract

Myometrial pregnancy developing in an previous cesarean section scar is the rarest of all ectopic pregnancy and provavly one of the most dangerous because of the risk of rupture and hemorrhage. For a young patient wanting to maintain her fertility, an earlier diagnosis and more conservative treatment are highly desirable. We present a case of an ectopic pregnancy embedded in the myometrium of a previous cesarean section scar in which the patient preserved her fertility through more noninvasive method, transvaginal ultrasound-guided Methotrexate injection.

Key Words: Ectopic pregnancy, Cesarean section, Methotrexate