A Case of Ectopic Pregnancy in a Previous Cesarean Scar.

Lee, Kyung Soo; Choi, Young Min; Choi, Young Sik; Kim, Ja Yeon; Lee, Seung Ho; Jee, Byung Chul; Ku, Seung Yup; Suh, Chang Suk; Kim, Seok Hyun; Kim, Jung Gu; Moon, Shin Yong

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(11):2723-2728.
Published online November 1, 2005.

A Case of Ectopic Pregnancy in a Previous Cesarean Scar.

Kyung Soo Lee, Young Min Choi, Young Sik Choi, Ja Yeon Kim, Seung Ho Lee, Byung Chul Jee, Seung Yup Ku, Chang Suk Suh, Seok Hyun Kim, Jung Gu Kim, Shin Yong Moon

¹Department of Obstetrics and Gynecology, College of Medicine, Medical Research Center, Seoul National University, Seoul, Korea. ymchoi@snu.ac.kr
²Institute of Reproductive Medicine and Population, Medical Research Center, Seoul National University, Seoul, Korea.

Abstract

Implantation of a pregnancy within the scar of a previous cesarean delivery is a very rare form of ectopic pregnancy. However, this type of ectopic pregnancy is considered to be a life-threatening condition because of the very high risk of uterine rupture and uncontrollable hemorrhage. Unfortunately, optimal treatment have not been established. We present here a case of ectopic pregnancy in the previous cesarean scar treated with combined systemic and local intra-amniotic methotrexate successfully.

Key Words: Cesarean scar, Ectopic pregnancy, Methotrexate