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Successful Management of Cesarean Scar Ectopic Pregnancy Using Local Methotrexate Injection and Balloon Catheter
Natalie M George1, Madhav Barot1, Reham Haroun2
1College of Osteopathic Medicine, Michigan State University, Detroit, USA.
Cureus
|October 20, 2025
Summary
This case study shows a successful treatment for cesarean scar ectopic pregnancy (CSEP) using a combination of methotrexate injection and balloon catheter compression. Early diagnosis and multidisciplinary care are crucial for managing this rare condition.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
- Medical Imaging
Background:
- Cesarean scar ectopic pregnancy (CSEP) is a rare but serious form of non-tubal ectopic pregnancy.
- Diagnosis relies on elevated beta human chorionic gonadotropin (β-hCG) and specific transvaginal ultrasound findings.
- CSEP poses significant risks if not promptly and effectively managed.
