[Cesarean scar pregnancy: a case report of conservative management].
A caesarean scar pregnancy is a rare type of ectopic pregnancy which engages the vital prognosis either by hemorrhage or by early uterine rupture. We report the case of a 38-years-old patient who presented an ectopic pregnancy developed inside a previous caesarean section scar. The diagnosis was made at eight weeks of gestation by ultra-sound and allowed a fast management. We chose a conservative medical treatment by methotrexate both systemic and in situ. A hemorrhagic complication occured in two months of the initial treatment, requiring an endovascular therapy as well.
Service de gynécologie-échographie, CHU de Rennes, 16, boulevard de Bulgarie, 35203 Rennes cedex, France. lmaheut@hotmail.com
L
L
Maheut
S
S
Seconda
E
E
Bauville
J
J
Levêque
D000020:Abortifacient Agents, Nonsteroidal; D000328:Adult; D002585:Cesarean Section; D002921:Cicatrix; D004621:Embolization, Therapeutic; D005260:Female; D005865:Gestational Age; D006801:Humans; D008727:Methotrexate / Q000008:administration & dosage; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000628:therapy*; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000209:etiology / Q000628:therapy
D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate
Grossesse sur cicatrice de césarienne : un cas clinique de traitement conservateur.