Ectopic pregnancy in a cesarean section scar treated with intramuscular methotrexate and bilateral uterine artery embolization.
We report a case of an ectopic pregnancy implanted in the myometrium at the site of a scar from a previous cesarean section that presented with vaginal bleeding and was successfully treated with bilateral uterine artery embolization and intramuscular administration of methotrexate. The combination of minimally invasive interventional techniques and medical therapies can preserve fertility.
Hois
Erin L
EL
Department of Radiology, Rush University Medical Center, 1653 West Congress Parkway, Chicago, IL 60612-3833, USA.
Hibbeln
John F
JF
Alonzo
Marc J
MJ
Chen
Meri E
ME
Freimanis
Maija G
MG
D000328:Adult; D000792:Angiography; D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000150:complications* / Q000473:pathology; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic / Q000379:methods*; D019160:Endosonography / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007273:Injections, Intramuscular; D008727:Methotrexate / Q000008:administration & dosage*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000628:therapy*; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D016216:Ultrasonography, Prenatal; D014599:Uterus / Q000098:blood supply*
D000964:Antimetabolites, Antineoplastic; D008727:Methotrexate