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A large intrauterine vascular lesion developing after the successful treatment of a cesarean scar pregnancy with methotrexate injection
Author(s) -
Song Ji Won,
Ju Da Hye,
Yi Sang Wook,
Lee Joo Hee,
Sohn Woo Seok,
Lee Sang Soo
Publication year - 2017
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22490
Subject(s) - medicine , methotrexate , pregnancy , ectopic pregnancy , abortion , lesion , obstetrics , human chorionic gonadotropin , ultrasound , gynecology , surgery , radiology , hormone , genetics , biology
ABSTRACT A cesarean scar pregnancy is a rare type of ectopic pregnancy. Induced abortion by local methotrexate (MTX) injection is an effective management approach. We describe a case in which a large intrauterine vascular lesion appeared after the sonographic‐guided local injection of MTX, which successfully induced the abortion of the cesarean scar pregnancy. Although a cesarean scar pregnancy may be safely treated with a local MTX injection, close follow‐up, including serum β‐human chorionic gonadotropin level measurement and Doppler sonography, is needed because an intrauterine vascular lesion could develop even after a successfully induced abortion. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46 :222–226, 2018