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Ectopic pregnancy in a cesarean-section scar: the patient >6 weeks into an ectopic pregnancy, underwent local

Gary N Frishman1, Katherine E Melzer, Bala Bhagavath

  • 1Division of Reproductive Medicine and Infertility, Department of Obstetrics and Gynecology, Alpert Medical School, Brown University, Providence, RI, USA.

American Journal of Obstetrics and Gynecology
|April 3, 2012
PubMed

Cesarean scar ectopic pregnancies may be difficult to diagnose and may result in uterine rupture or hysterectomy. Based on location and vascularity, especially in the presence of fetal cardiac activity, local treatment with transvaginal ultrasound-guided injection of methotrexate is an excellent option which also optimizes the chance for fertility preservation.

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