title: An ectopic pregnancy developing in a previous caesarian section scar.
abstract: 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.
authors.affiliation: Catholic University of Louvain, Department of Gynecology, St. Luc University Clinics, Brussels, Belgium.
authors.forename: P A
authors.initials: PA
authors.lastname: Godin
authors.forename: S
authors.initials: S
authors.lastname: Bassil
authors.forename: J
authors.initials: J
authors.lastname: Donnez
mesh_terms: 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
chemical_list: D008727:Methotrexate