Medikamentöse Behandlung einer in der Sectionarbe implantierten vitalen Frühschwangerschaft

Zusammenfassung

Eine 39-jährige IIG IP Z. n. Sectio caesarea stellt sich bei tiefer Implantation zur weiteren Abklärung vor. Im Ultraschall wird eine Implantation in der Sectionarbe gesichert. Nach einmaliger intraamnialer Methotrexatinjektion zeigen die Verlaufskontrollen eine komplette Resorption des Schwangerschaftsgewebes über die folgenden 12 Wochen. Die Serum-HCG-Werte fallen im Verlauf unter die Nachweisgrenze. Im Anschluss setzt spontan der Menstruationsyklus ein.

Abstract

A 39-year-old IIG IP with a history of cesarian section was diagnosed by vaginal sonography with pregnancy implanted in the scar tissue and treated with intraamnial methotrexate injection. The pregnancy resolved completely over the following 12 weeks. Serum HCG levels were negative at the end of treatment. Subsequently regular cycles started.

Schlüsselwörter

ektope Schwangerschaft - Kaiserschnittnarbe - Risikoschwangerschaft - medikamentöse Behandlung

Key words

pregnancy - cesarian section scar - risk pregnancy - drug treatment

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