Successful medical treatment of cesarean scar pregnancy: a case report.
OBJECTIVE
Cesarean scar pregnancy is implantation of the pregnancy within the fibrous tissue of the cesarean scar which is completely surrounded by myometrium.


RESULTS
A 32-year-old woman, gravida 2, para 1 presented at our emergency department with mild lower abdominal pain and minimal vaginal bleeding. She was diagnosed with cesarean scar pregnancy. Conservative treatment with methotrexate 50 mg/m2 was administered IM on days 0 and 8. Her betaHCG value was zero at the 14th week after beginning of the treatment.


CONCLUSIONS
Repeated methotrexate administration in the management of cesarean scar pregnancy should be attempted in informed patients who especially desire fertility and can be closely followed up.
Ayas
S
S
Department of Obstetrics and Gynecology, Zeynep Kamil Women and Children's Hospital, Istanbul, Turkey.
Aköz
I
I
Karateke
A
A
Bozoklu
O
O
D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000473:pathology; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use; D009215:Myometrium / Q000473:pathology*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology; D014463:Ultrasonography
D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate