USAGE OF INTRAMUSCULAR METHOTREXATE IN THE SUCCESSFUL MANAGEMENT OF CAESAREAN SCAR PREGNANCY: A RARE CASE REPORT

Caesarean scar pregnancy is the rarest type of ectopic pregnancy, associated with a high risk of morbidities and complications, such as uterine disruption and extensive hemorrhage [1]. The incidence of scar pregnancies is increasing as witnessed, as reported by the number of cases reported in the recent few decades due to rising number of Caesarean sections being performed and widespread use of transvaginal scans which helps detect such pregnancies early [2]. Conservative treatment modalities such as dilatation and curettage, excision of trophoblastic tissues (laparotomy or laparoscopy), [3] local and/or systemic administration of methotrexate [4] , bilateral hypogastric artery ligation associated with trophoblastic evacuation, and selective uterine artery embolization combined with curettage and/or methotrexate administration[5]. In this paper, we will report a case of Caesarean scar pregnancy which was successfully treated by systemically administered methotrexate.