Related Experiment Video
Updated: Aug 18, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Conservative treatment of ectopic pregnancy in a cesarean scar
Olivier Graesslin1, Frédéric Dedecker, Christian Quereux
1Institut Mère Enfant Alix de Champagne, Service de Gynécologie-Obstétrique, CHRU, Reims, France. ograesslin@chu-reims.fr
Background:
Pregnancy developing in a cesarean scar is a very rare but possibly life-threatening condition because of the risk of rupture and excessive hemorrhage.
Case:
A 34-year-old woman presented with lower abdominal pain at 6 weeks of gestation. A cesarean delivery had been performed 3 years earlier. Transvaginal ultrasound examination revealed a viable pregnancy developing in the anterior wall of the uterus. The patient was treated successfully with systemic methotrexate and curettage.
Conclusion:
Conservative management with methotrexate and curettage can be considered in the treatment of ectopic cesarean scar pregnancy.
