OBJECTIVE: To describe three-dimensional ultrasonographic features of an ectopic pregnancy in a cesarean scar. DESIGN: Description of a case. SETTING: Case report of one patient. PATIENT(S): A 38-year-old women with three previous cesarean deliveries. INTERVENTION(S): Three-dimensional ultrasonography was performed for diagnosis and treatment. MAIN OUTCOME MEASURE(S): Local administration of methotrexate under ultrasonographic guidance. RESULT(S): Ultrasonographic study revealed a gestational sac in the anterior wall of the uterine isthmus with peritrophoblastic flow. It was treated conservatively and successfully with local methotrexate administration under ultrasonographic guidance. CONCLUSION(S): The early diagnosis of ectopic cesarean scar pregnancy allows the conservative treatment with local administration of methotrexate under ultrasonographic guidance.
OBJECTIVE: To describe three-dimensional ultrasonographic features of an ectopic pregnancy in a cesarean scar. DESIGN: Description of a case. SETTING: Case report of one patient. PATIENT(S): A 38-year-old women with three previous cesarean deliveries. INTERVENTION(S): Three-dimensional ultrasonography was performed for diagnosis and treatment. MAIN OUTCOME MEASURE(S): Local administration of methotrexate under ultrasonographic guidance. RESULT(S): Ultrasonographic study revealed a gestational sac in the anterior wall of the uterine isthmus with peritrophoblastic flow. It was treated conservatively and successfully with local methotrexate administration under ultrasonographic guidance. CONCLUSION(S): The early diagnosis of ectopic cesarean scar pregnancy allows the conservative treatment with local administration of methotrexate under ultrasonographic guidance.
Authors: I P M Jordans; C Verberkt; R A De Leeuw; C M Bilardo; T Van Den Bosch; T Bourne; H A M Brölmann; M Dueholm; W J K Hehenkamp; N Jastrow; D Jurkovic; A Kaelin Agten; R Mashiach; O Naji; E Pajkrt; D Timmerman; O Vikhareva; L F Van Der Voet; J A F Huirne Journal: Ultrasound Obstet Gynecol Date: 2022-04 Impact factor: 8.678