INTRAMURAL PREGNANCY LOCATED IN A PREVIOU S CESAREAN-SECTION SCAR

We describe the case of an ectopic pregnancy that implanted in the ute rine scar five years after a Caesarean section. The diagnosis was made by vaginal and duplex sonography after measurement of a HCG value of 19748 IU/ml. After a single intramuscular injection of methotrexate (1 mg/kg body weight) the pregnancy was dissolved. The patient was follo wed up by weekly HCG determination and several ultrasonographic contro ls until complete normalisation. Thanks to this conservative treatment the potential fertility of the patient was preserved and the complica tion of uterine rupture could be avoided.