An ectopic pregnancy developing in a previous caesarian section scar.
OBJECTIVE
To report the diagnosis and management of an ectopic pregnancy (EP) developing in a caesarean section scar.


METHODS
Case report.


METHODS
University medical school.


METHODS
A patient with a previous history of two caesarean sections developing an EP.


METHODS
Methotrexate (MTX) was administered locally under ultrasonographic guidance.


METHODS
Weekly screening of blood hCG levels and yolk sac resorption by endovaginal sonography.


RESULTS
The diagnosis was suspected by vaginal echography and confirmed by magnetic resonance imaging. Local injection of KCl and MTX provoked a progressive resorption of the pregnancy. Human chorionic gonadotropin was undetectable on day 82.


CONCLUSIONS
To prevent uterine rupture in cases of an EP developing in a caesarean section scar, a medical approach can be proposed.
Godin
P A
PA
Catholic University of Louvain, Department of Gynecology, St. Luc University Clinics, Brussels, Belgium.
Bassil
S
S
Donnez
J
J
D000328:Adult; D002585:Cesarean Section; D002921:Cicatrix / Q000150:complications*; D005260:Female; D006801:Humans; D007267:Injections; D008279:Magnetic Resonance Imaging; D008727:Methotrexate / Q000627:therapeutic use; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D014463:Ultrasonography
D008727:Methotrexate