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Case Reports
. 1997 Feb;67(2):398-400.
doi: 10.1016/S0015-0282(97)81930-9.

An ectopic pregnancy developing in a previous caesarian section scar

P A Godin  1 , S Bassil, J Donnez
Affiliations
Free article
Case Reports

An ectopic pregnancy developing in a previous caesarian section scar

P A Godin et al. Fertil Steril. 1997 Feb.
Free article

Erratum in

  • Fertil Steril 1997 Jul;68(1):187

Abstract

Objective: To report the diagnosis and management of an ectopic pregnancy (EP) developing in a caesarean section scar.

Design: Case report.

Setting: University medical school.

Patient(s): A patient with a previous history of two caesarean sections developing an EP.

Intervention(s): Methotrexate (MTX) was administered locally under ultrasonographic guidance.

Main outcome measure(s): Weekly screening of blood hCG levels and yolk sac resorption by endovaginal sonography.

Result(s): The diagnosis was suspected by vaginal echography and confirmed by magnetic resonance imaging. Local injection of KCl and MTX provoked a progressive resorption of the pregnancy. Human chorionic gonadotropin was undetectable on day 82.

Conclusion(s): To prevent uterine rupture in cases of an EP developing in a caesarean section scar, a medical approach can be proposed.

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