A case of successful treatment of an ectopic pregnancy embedded in the myometrium of previous cesarean section scar with systemic methotrexate injection.

Hong, Jin Hwa; Jeong, Yu A; Hwang, Jong Ha; Kim, Jae Won; Lee, Kyung Ju; Kim, Chul Hwan; Saw, Ho Suk; Park, Yong Kyun; Chough, Soo Yong; Hur, Jun Young

Case Report

Korean Journal of Obstetrics & Gynecology 2002;45(9):1645-1648.
Published online September 1, 2002.

A case of successful treatment of an ectopic pregnancy embedded in the myometrium of previous cesarean section scar with systemic methotrexate injection.

Jin Hwa Hong, Yu A Jeong, Jong Ha Hwang, Jae Won Kim, Kyung Ju Lee, Chul Hwan Kim, Ho Suk Saw, Yong Kyun Park, Soo Yong Chough, Jun Young Hur

¹Department of Obstetrics and Gynecology, College of Medicine, Korea University, Seoul, Korea.
²Department of Pathology, College of Medicine, Korea University, Seoul, Korea.

Abstract

Intramural pregnancy implanting in the previous cesarean section scar is one of the rarest form of an ectopic pregnancy and probably the most dangerous form because of its risk of rupture and hemorrhage. Pathologically, the location of the gestational sac is completely isolated from the uterine cavity and entirely surrounded by myometrium without any contact of endometrium. For young patients who wish to maintain their fertility, an earlier diagnosis and more conservative treatment are highly desirable. We have recently experienced a case of intramural pregnancy implanting in the scar of cesarean section, treated completely with systemic methotrexate injection. So, we report this case with a brief review of the literature.

Key Words: Ectopic pregnancy, Cesarean section scar, Methotrexate