Korean J Perinatol.  2005 Dec;16(4):332-335.

A Case of Conservative Management of Ectopic Pregnancy Embedded in the Myometrium of Previous Cesarean Section Scar

• Gil MK
• Kang YM
• Kim SY
• Jeong SJ
• Kim YN
• Jeong DH
• Lee KB
• Sung MS
• Kim KT

Abstract

Intramural pregnancy, implanted in the previous cesarean section scar, is one of the rare and dangerous forms of ectopic pregnancies, because a delay in either diagnosis or treatment can lead to uterine rupture, hysterectomy, or significant maternal morbidity, due to severe hemorrhaging. With the development of transvaginal ultrasound and MRI, early diagnosis and conservative treatment of intramural pregnancy is possible. For young patients who wish to maintain their fertility, an earlier diagnosis and more conservative treatment are desirable. We experienced a case of intramural pregnancy developed in the previous cesarean section scar and successfully treated it with conservative management. So we report this case with a brief review of literature.

Keyword

Intramural pregnancy; Ectopic pregnancy; Cesarean section scar

MeSH Terms

Animals
Cesarean Section*
Cicatrix*
Diagnosis
Early Diagnosis
Female
Fertility
Humans
Hysterectomy
Magnetic Resonance Imaging
Mice
Myometrium*
Pregnancy
Pregnancy, Ectopic*
Ultrasonography
Uterine Rupture