title: Three-dimensional power Doppler ultrasound diagnosis and conservative treatment of ectopic pregnancy in a cesarean section scar.
abstract: OBJECTIVE
  To describe three-dimensional ultrasonographic features of an ectopic pregnancy in a cesarean scar.
  
  
  METHODS
  Description of a case.
  
  
  METHODS
  Case report of one patient.
  
  
  METHODS
  A 38-year-old women with three previous cesarean deliveries.
  
  
  METHODS
  Three-dimensional ultrasonography was performed for diagnosis and treatment.
  
  
  METHODS
  Local administration of methotrexate under ultrasonographic guidance.
  
  
  RESULTS
  Ultrasonographic study revealed a gestational sac in the anterior wall of the uterine isthmus with peritrophoblastic flow. It was treated conservatively and successfully with local methotrexate administration under ultrasonographic guidance.
  
  
  CONCLUSIONS
  The early diagnosis of ectopic cesarean scar pregnancy allows the conservative treatment with local administration of methotrexate under ultrasonographic guidance.
authors.affiliation: Department of Obstetrics and Gynecology, Institut Universitari Dexeus, Barcelona, Spain. marpas@dexeus.com <marpas@dexeus.com>
authors.forename: Maria Angela
authors.initials: MA
authors.lastname: Pascual
authors.forename: Lourdes
authors.initials: L
authors.lastname: Hereter
authors.forename: Betlem
authors.initials: B
authors.lastname: Graupera
authors.forename: Francisco
authors.initials: F
authors.lastname: Tresserra
authors.forename: Maria
authors.initials: M
authors.lastname: Fernandez-Cid
authors.forename: Marta
authors.initials: M
authors.lastname: Simon
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging*; D018608:Ultrasonography, Doppler