Local management with methotrexate of cesarean scar ectopic pregnancy with live embryo guided by transvaginal ultrasound: A case report

Author:

Leite Juliana de Freitas1,Fraietta Renato2,Elito Júnior Júlio2

Affiliation:

1. Universidade Federal de São Paulo, Brazil

2. Unifesp, Brazil

Abstract

Summary Cesarean scar ectopic pregnancy is a rare type of ectopic pregnancy with high morbidity and mortality. Use of conservative conducts, including medical management with methotrexate, has avoided mutilating surgeries such as hysterectomy and spared the fertility of women. We report the case of a 30-year old patient with a cesarean scar ectopic pregnancy, with a live embryo, who was treated locally with transvaginal ultrasound-guided injection of methotrexate, complemented with various doses of systemic methotrexate.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Reference15 articles.

1. Ectopic pregnancy within a cesarean delivery scar: a case report;Fylstra DL;Am J Obstet Gynecol,2002

2. Management of other ectopic pregnancies;Jourdain O;J Gynecol Obstet Biol Reprod (Paris),2003

3. Transrectal ultrasound-guided surgical evacuation of cesarean scar ectopic pregnancy;Bignardi T;Ultrasound Obstet Gynecol,2010

4. First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar;Jurkovic D;Ultrassond Obst Gynecol,2003

5. Cesarean scar pregnancy: issues in management;Seaw KM;Ultrassound Obstet Gynecol,2004

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