{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T22:21:08Z","timestamp":1784758868480,"version":"3.55.0"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:p>Summary Cesarean scar ectopic pregnancy is a rare type of ectopic pregnancy with high morbidity and mortality. Use of conservative conducts, including medical management with methotrexate, has avoided mutilating surgeries such as hysterectomy and spared the fertility of women. We report the case of a 30-year old patient with a cesarean scar ectopic pregnancy, with a live embryo, who was treated locally with transvaginal ultrasound-guided injection of methotrexate, complemented with various doses of systemic methotrexate.<\/jats:p>","DOI":"10.1590\/1806-9282.62.02.184","type":"journal-article","created":{"date-parts":[[2016,5,4]],"date-time":"2016-05-04T23:31:31Z","timestamp":1462404691000},"page":"184-185","source":"Crossref","is-referenced-by-count":6,"title":["Local management with methotrexate of cesarean scar ectopic pregnancy with live embryo guided by transvaginal ultrasound: A case report"],"prefix":"10.1590","volume":"62","author":[{"given":"Juliana de Freitas","family":"Leite","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renato","family":"Fraietta","sequence":"additional","affiliation":[{"name":"Unifesp,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00falio","family":"Elito J\u00fanior","sequence":"additional","affiliation":[{"name":"Unifesp,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"2","key":"ref1","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1067\/mob.2002.125998","article-title":"Ectopic pregnancy within a cesarean delivery scar: a case report","volume":"187","author":"Fylstra DL","year":"2002","journal-title":"Am J Obstet Gynecol"},{"issue":"7 Suppl","key":"ref2","first-page":"S93","article-title":"Management of other ectopic pregnancies","volume":"32","author":"Jourdain O","year":"2003","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1002\/uog.7596","article-title":"Transrectal ultrasound-guided surgical evacuation of cesarean scar ectopic pregnancy","volume":"35","author":"Bignardi T","year":"2010","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"3","key":"ref4","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1002\/uog.56","article-title":"First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar","volume":"21","author":"Jurkovic D","year":"2003","journal-title":"Ultrassond Obst Gynecol"},{"issue":"3","key":"ref5","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1002\/uog.974","article-title":"Cesarean scar pregnancy: issues in management","volume":"23","author":"Seaw KM","year":"2004","journal-title":"Ultrassound Obstet Gynecol"},{"issue":"10","key":"ref6","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1111\/j.1471-0528.1995.tb10855.x","article-title":"Follow up and outcome of isthmic pregnancy located in a previous caesarean section scar","volume":"102","author":"Herman A","year":"1995","journal-title":"Br J Obstet Gynaecol"},{"issue":"6","key":"ref7","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1046\/j.1469-0705.2000.00300-2.x","article-title":"Pregnancy in a cesarean scar","volume":"16","author":"Vial Y","year":"2000","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"6","key":"ref8","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1097\/01.AOG.0000218690.24494.ce","article-title":"Cesarean scar ectopic pregnancies: etiology, diagnosis, and management","volume":"107","author":"Rotas MA","year":"2006","journal-title":"Obstet Gynecol"},{"issue":"4","key":"ref9","first-page":"142","article-title":"Pregnancy in a uterine scar sacculus - an unusual cause of postabortal haemorrhage: A case report","volume":"53","author":"Larsen JV","year":"1978","journal-title":"S Afr Med J"},{"issue":"1","key":"ref10","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.ajog.2012.03.007","article-title":"Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. 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