Successful conservative management of a viable Cesarean scar pregnancy: A case report.

Lee, Jae Eun; Choe, Seung Ah; Ku, Seung Yup; Kim, Seok Hyun; Choi, Young Min; Kim, Jung Gu; Moon, Shin Yong

doi:2012.55.4.274

Obstet Gynecol Sci > Volume 55(4); 2012 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(4):274-277.
DOI: https://doi.org/10.5468/KJOG.2012.55.4.274 Published online April 17, 2012.

Successful conservative management of a viable Cesarean scar pregnancy: A case report.

Jae Eun Lee, Seung Ah Choe, Seung Yup Ku, Seok Hyun Kim, Young Min Choi, Jung Gu Kim, Shin Yong Moon

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

Abstract

Cesarean scar pregnancy is the one of the rarest forms of ectopic pregnancy and is associated with severe complications, such as uncontrollable bleeding and uterine rupture. However optimal treatment has not been established. We present here a case of ectopic pregnancy in the previous Cesarean scar treated successfully by uterine artery embolization in combination with subsequent intra-cardiac potassium chloride and intra-sac methotrexate injection without surgical or invasive intervention at 9+3 weeks' gestational age.

Key Words: Cesarean scar pregnancy, Potassium chloride, Methotrexate, Uterine artery embolization