A Case of Treatment with Methotrexate Local Injection on Intramural Pregnancy within a Previous Cesarean Scar.
- Author:
Sang Woo PARK
1
;
Kyu Sik SHIN
;
Myeon Soo KIM
;
Seon Yeong KU
;
Yu Ri KIM
;
Tae Ro KWAK
Author Information
1. Department of Obstetrics and Gynecology, Wallace Memorial Baptist Hospital, Busan, Korea. memory137@hanmail.net
- Publication Type:Case Report
- Keywords:
Intramural pregnancy;
Cesarean section scar
- MeSH:
Cesarean Section;
Cicatrix*;
Early Diagnosis;
Female;
Gestational Sac;
Hemorrhage;
Laparotomy;
Magnetic Resonance Imaging;
Methotrexate*;
Pregnancy*;
Pregnancy, Ectopic;
Ultrasonography;
Uterine Rupture
- From:Korean Journal of Obstetrics and Gynecology
2006;49(1):208-212
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intramural pregnancy on a cesarean section scar is one of the rarest forms of ectopic pregnancy that may cause serious complications such as uterine rupture and massive bleeding. The common treatment in the past was laparotomy, but today early diagnosis is available thanks to the development of image diagnostic technology and, as a consequence, cases of less invasive conservative management are reported. Using vaginal ultrasonography and MRI, we made an early diagnosis on a case of intramural pregnancy on the scar of a previous cesarean section. We injected methotrexate locally into the gestational sac, and the intramural pregnancy was completely cured. Thus, here we report this case with a brief review of relevant literature.
