Korean J Obstet Gynecol.  2006 Jan;49(1):208-212.

A Case of Treatment with Methotrexate Local Injection on Intramural Pregnancy within a Previous Cesarean Scar

• Park SW
• Shin KS
• Kim MS
• Ku SY
• Kim YR
• Kwak TR

Abstract

Intramural pregnancy on a cesarean section scar is one of the rarest forms of ectopic pregnancy that may cause serious complications such as uterine rupture and massive bleeding. The common treatment in the past was laparotomy, but today early diagnosis is available thanks to the development of image diagnostic technology and, as a consequence, cases of less invasive conservative management are reported. Using vaginal ultrasonography and MRI, we made an early diagnosis on a case of intramural pregnancy on the scar of a previous cesarean section. We injected methotrexate locally into the gestational sac, and the intramural pregnancy was completely cured. Thus, here we report this case with a brief review of relevant literature.

Keyword

Intramural pregnancy; Cesarean section scar

MeSH Terms

Cesarean Section
Cicatrix*
Early Diagnosis
Female
Gestational Sac
Hemorrhage
Laparotomy
Magnetic Resonance Imaging
Methotrexate*
Pregnancy*
Pregnancy, Ectopic
Ultrasonography
Uterine Rupture
Methotrexate