A Case of Successful Treatment with Methotrexate Injection on Intramural Pregnancy Embedded in the Myometrium of Previous Cesarean Section Scar / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
; : 1767-1770, 2003.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-90055
Responsible library:
WPRO
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. For its sonographic diagnosis, the gestational sac should be in the anterior wall of uterine isthmic portion, there should be no myometrium between bladder and gestational sac, and it should be verified that uterine cavity and cervix should be isolated from gestational sac. For young patients who wish to maintain their fertility, an earlier diagnosis and more conservative treatment are desirable. We have recently experienced a case of intramural pregnancy implanting in the scar of cesarean section, treated with systemic methotrexate injection. So, we report this case with a brief review of the literature.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pregnancy, Ectopic
/
Rupture
/
Urinary Bladder
/
Cervix Uteri
/
Cesarean Section
/
Methotrexate
/
Ultrasonography
/
Cicatrix
/
Diagnosis
/
Gestational Sac
Type of study:
Diagnostic study
Limits:
Animals
/
Female
/
Humans
/
Pregnancy
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2003
Document type:
Article