Abstract
To report the diagnosis and management of an ectopic pregnancy (EP) developing in a caesarean section scar. Case report. University medical school. A patient with a previous history of two caesarean sections developing an EP. Methotrexate (MTX) was administered locally under ultrasonographic guidance. Weekly screening of blood hCG levels and yolk sac resorption by endovaginal sonography. 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. 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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