Treatment of intra-gestational methotrexate of cesarean scar ectopic pregnancy: A case report

Abstract

Cesarean scar pregnancy is the localization of uterine out of the cavity. There is a variety of treatment methods of cesarean scar pregnancy. There is not yet a consensus on treatment of scar pregnancy by using a preferred method. A 28-year-old woman applied to our center with the suspicion of pregnancy. A cesarean scar pregnancy that had fetal heart beats consistent with 6 weeks +2 days was determined in the area of incision line of uterus. Methotrexate was injected to the patient with oocyte pick-up needle under transvaginal ultrasonograph. No complication developed after the procedure. The patient was discharged in good health from the hospital the next day and her b hcg levels turned back to normal level.

Keywords

• Scar pregnancy,Methotrexate,Pregnancy

References

1. Chueh, H.Y., Cheng, P.J., Wang, C.W., 2008. Ectopic twin pregnancy in cesrean scar after in vitro fertilization/embryo transfer: case report. Fertil. Steril. 90(5), 2009.e19-e21. Godin, P.A., Bassil, S., Donnez, J., 1997. An ectopic pregnancy developing in a previous caesarean section scar. Fertil. Steril. 67, 398–400.
2. Jurkovic, D., Hillaby, K., Woelfer, B., Lawrence, A., Salim, R., Elson, C.J., 2003. First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment cesarean section scar Ultrasound Obstet. Gynecol. 21, 220 – 227.
3. Katarzyna, L., Ermanno, G., 2011. Caesarean scar pregnancy. A review of management options. Curr. Opin. Obstet. Gynecol. 23, 415–421.
4. Le, A., Shan, L., Xiao, T., Zhuo, R., Xiong, H., Wang, Z., 2013. Transvaginal surgical treatment of cesarean scar ectopic pregnancy. Arch. Gynecol. Obstet. 287, 791-796.
5. Litwicka, K., Greco, E., 2011. Caesarean scar pregnancy: a review of management options. Curr. Opin. Obstet. Gynecol. 23, 415–421.
6. Maymon, R., Halperin, R., Mendlovic, S., 2004. Ectopic pregnancies in a Caesarean scar: review of the medical approach to an iatrogenic complication. Hum. Reprod. Update. 10, 515-23.
7. Sadeghi, H., Rutherford, T., Rackow, B.W., 2010. Cesarean scar ectopic pregnancy:case series and review of the literature. Am. J. Perinatol. 27, 111-120.
8. Rotas, M.A., Haberman, S., Levgur, M., 2006. Cesarean scar ectopic pregnancies etiology, diagnosis and mana-gement. Obstet. Gynecol. 107, 1373-1381.