title: Conservative treatment of ectopic pregnancy in a cesarean section scar with methotrexate: a case report.
abstract: Ectopic pregnancies sited in dehiscent cesarean section scars have a high risk of rupture and bleeding. Attempts at operative therapy frequently end in loss of the uterus. A connection with the cavum uteri justifies an attempt at dilatation and curettage. We describes a patient with combined systemic and local intra-amniotic methotrexate (MTX). The uterus was preserved.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Cologne, Kerpener Str. 34, 50931 Cologne, Germany. frank.nawroth@medizin.uni-koeln.de
authors.forename: F
authors.initials: F
authors.lastname: Nawroth
authors.forename: D
authors.initials: D
authors.lastname: Foth
authors.forename: L
authors.initials: L
authors.lastname: Wilhelm
authors.forename: T
authors.initials: T
authors.lastname: Schmidt
authors.forename: M
authors.initials: M
authors.lastname: Warm
authors.forename: T
authors.initials: T
authors.lastname: Römer
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use*; D000328:Adult; D002585:Cesarean Section; D005260:Female; D005313:Fetal Death; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery*; D014463:Ultrasonography
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate