Objective: To describe three-dimensional ultrasonographic features of an ectopic pregnancy in a cesarean scar.
Design: Description of a case.
Setting: Case report of one patient.
Patient(s): A 38-year-old women with three previous cesarean deliveries.
Intervention(s): Three-dimensional ultrasonography was performed for diagnosis and treatment.
Main Outcome Measure(s): Local administration of methotrexate under ultrasonographic guidance.
Result(s): Ultrasonographic study revealed a gestational sac in the anterior wall of the uterine isthmus with peritrophoblastic flow. It was treated conservatively and successfully with local methotrexate administration under ultrasonographic guidance.
Conclusion(s): The early diagnosis of ectopic cesarean scar pregnancy allows the conservative treatment with local administration of methotrexate under ultrasonographic guidance.
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| http://dx.doi.org/10.1016/j.fertnstert.2006.11.183 | DOI Listing |
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