Local management with methotrexate of cesarean scar ectopic pregnancy with live embryo guided by transvaginal ultrasound: A case report

Cesarean scar ectopic pregnancy is a rare type of ectopic pregnancy with high morbidity and mortality. Use of conservative conducts, including medical management with methotrexate, has avoided mutilating surgeries such as hysterectomy and spared the fertility of women. We report the case of a 30-yea...

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Bibliographic Details
Authors: Leite, Juliana de Freitas [UNIFESP], Fraietta, Renato [UNIFESP], Elito Junior, Julio [UNIFESP]
Format: article
Status:Published version
Publication Date:2016
Country:Brasil
Institution:Universidade Federal de São Paulo (UNIFESP)
Repository:Repositório Institucional da UNIFESP
Language:English
OAI Identifier:oai:repositorio.unifesp.br:11600/57817
Online Access:http://dx.doi.org/10.1590/1806-9282.62.02.184
https://repositorio.unifesp.br/handle/11600/57817
Access Level:Open access
Keyword:Ectopic pregnancy
methotrexate
scar
cesarean section
Description
Summary:Cesarean scar ectopic pregnancy is a rare type of ectopic pregnancy with high morbidity and mortality. Use of conservative conducts, including medical management with methotrexate, has avoided mutilating surgeries such as hysterectomy and spared the fertility of women. We report the case of a 30-year old patient with a cesarean scar ectopic pregnancy, with a live embryo, who was treated locally with transvaginal ultrasound-guided injection of methotrexate, complemented with various doses of systemic methotrexate.