title: Ectopic pregnancy in a cesarean-section scar: the patient >6 weeks into an ectopic pregnancy, underwent local treatment.
abstract: Cesarean scar ectopic pregnancies may be difficult to diagnose and may result in uterine rupture or hysterectomy. Based on location and vascularity, especially in the presence of fetal cardiac activity, local treatment with transvaginal ultrasound-guided injection of methotrexate is an excellent option which also optimizes the chance for fertility preservation.
authors.affiliation: Division of Reproductive Medicine and Infertility, Department of Obstetrics and Gynecology, Alpert Medical School, Brown University, Providence, RI, USA.
authors.forename: Gary N
authors.initials: GN
authors.lastname: Frishman
authors.forename: Katherine E
authors.initials: KE
authors.lastname: Melzer
authors.forename: Bala
authors.initials: B
authors.lastname: Bhagavath
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D002921:Cicatrix / Q000209:etiology; D005260:Female; D006801:Humans; D007322:Instillation, Drug; D008727:Methotrexate / Q000008:administration & dosage*; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011271:Pregnancy, Ectopic / Q000188:drug therapy*
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate