Caesarean Scar Ectopic Pregnancy Treated with local Methotrexate: A Case Report

Authors

  • Jobaida Sultana Assistant Professor, Department of Obstetrics and Gynaecology, Shaheed Suhrawardy Medical College & Hospital, Dhaka
  • Farhana Dewan Professor & Head, Department of Obstetrics and Gynaecology, Shaheed Suhrawardy Medical College & Hospital, Dhaka
  • Rezaul Karim Kazal Associate Professor, Department of Obstetrics and Gynaecology, BSMMU, Dhaka
  • Md Manir Hossain Khan Associate Professor, Department of Surgery, BSMMU, Dhaka
  • Mahmuda Sultana Junior Consultant, Department of Obstetrics and Gynaecology, deputed in Center for Medical Education, Mohakhali, Dhaka

DOI:

https://doi.org/10.3329/bjog.v30i1.30507

Keywords:

Caesarean scar pregnancy, ectopic pregnancy

Abstract

Ectopic pregnancy in a caesarean scar is the rarest form of ectopic pregnancy and probably the most dangerous one because of the risk of uterine rupture and massive hemorrhage. Since the advent of endovaginal ultrasonography, ectopic pregnancy in a caesarean scar can be diagnosed and distinguished from cervical pregnancy early in pregnancy. Here we describe a case of ectopic pregnancy in a caesarean scar in which the diagnosis was done at 6 weeks of pregnancy by transvaginal sonography and confirmed by MRI. The case was successfully managed by ultrasonography guided local injection of methotrexate into the gestational sac through trans abdominal route.

Bangladesh J Obstet Gynaecol, 2015; Vol. 30(1) : 43-48

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Author Biography

Jobaida Sultana, Assistant Professor, Department of Obstetrics and Gynaecology, Shaheed Suhrawardy Medical College & Hospital, Dhaka



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Published

2016-11-28

How to Cite

Sultana, J., Dewan, F., Kazal, R. K., Khan, M. M. H., & Sultana, M. (2016). Caesarean Scar Ectopic Pregnancy Treated with local Methotrexate: A Case Report. Bangladesh Journal of Obstetrics &Amp; Gynaecology, 30(1), 43–48. https://doi.org/10.3329/bjog.v30i1.30507

Issue

Vol. 30 No. 1 (2015)

Section

Case Report