Korean J Obstet Gynecol.  2003 Sep;46(9):1767-1770.

A Case of Successful Treatment with Methotrexate Injection on Intramural Pregnancy Embedded in the Myometrium of Previous Cesarean Section Scar

• Kim BS
• Kim HH
• Gu JY
• Hong SW
• Sun JG
• Kee KS

Abstract

Intramural pregnancy implanting in the previous cesarean section scar is one of the rarest form of an ectopic pregnancy and probably the most dangerous form because of its risk of rupture and hemorrhage. For its sonographic diagnosis, the gestational sac should be in the anterior wall of uterine isthmic portion, there should be no myometrium between bladder and gestational sac, and it should be verified that uterine cavity and cervix should be isolated from gestational sac. For young patients who wish to maintain their fertility, an earlier diagnosis and more conservative treatment are desirable. We have recently experienced a case of intramural pregnancy implanting in the scar of cesarean section, treated with systemic methotrexate injection. So, we report this case with a brief review of the literature.

Keyword

Intramural pregnancy; Cesarean section scar; Methotrexate

MeSH Terms

Animals
Cervix Uteri
Cesarean Section*
Cicatrix*
Diagnosis
Female
Fertility
Gestational Sac
Hemorrhage
Humans
Methotrexate*
Mice
Myometrium*
Pregnancy*
Pregnancy, Ectopic
Rupture
Ultrasonography
Urinary Bladder
Methotrexate