Three-dimensional power Doppler ultrasound diagnosis and conservative treatment of ectopic pregnancy in a cesarean section scar.
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.
Pascual
Maria Angela
MA
Department of Obstetrics and Gynecology, Institut Universitari Dexeus, Barcelona, Spain. marpas@dexeus.com <marpas@dexeus.com>
Hereter
Lourdes
L
Graupera
Betlem
B
Tresserra
Francisco
F
Fernandez-Cid
Maria
M
Simon
Marta
M
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