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- Title
Conservative management of two ectopic pregnancies implanted in previous uterine scars.
- Authors
Haimov-Kochman, R; Sciaky-Tamir, Y; Yanai, N; Yagel, S
- Abstract
Abstract Cesarean section scar pregnancy is rare. A variety of interventions have been implemented to terminate the pregnancy and preserve the uterus; however, the optimal treatment is unknown. We describe two cases of this rare condition diagnosed by transvaginal ultrasound. In the first case the diagnosis of an 8-week non-viable gestation in a uterine scar was made sonographically in a 40-year-old woman. The patient was treated with intramuscular methotrexate. Myometrial integrity was suggested both by ultrasound findings and laparoscopic findings. In the second case, an early cervicoisthmic pregnancy in a uterine scar was diagnosed by sonography in a 39-year-old woman. This patient was treated successfully with a full course of intramuscular methotrexate. Complete disappearance of the gestational sac took place 4 months following beta-human chorionic gonadotrophin normalization. Intramuscular methotrexate may be a treatment alternative for Cesarean section scar pregnancies.
- Subjects
CESAREAN section; SCARS; ECTOPIC pregnancy; TRANSVAGINAL ultrasonography
- Publication
Ultrasound in Obstetrics & Gynecology, 2002, Vol 19, Issue 6, p616
- ISSN
0960-7692
- Publication type
Article
- DOI
10.1046/j.1469-0705.2002.00719.x