Caesarean scar-unusual site of ectopic pregnancy: a rare case report
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20221461Keywords:
Scar ectopic pregnancy, Abnormal implantation, Previous scar, Haemorrhage, Uterine ruptureAbstract
Scar ectopic pregnancy is the rarest type of ectopic pregnancy; however, it is becoming more common around the world. It is a life-threatening condition caused by abnormal embryo implantation in the myometrium and fibrous tissue of the prior scar after a caesarean section, hysterotomy, myomectomy, or metroplasty. With a better understanding of the disease and an increased rate of caesarean section, there is a significant increase in this condition. Early and correct diagnosis, combined with prompt treatment, can help to avoid pregnancy problems including haemorrhage and uterine rupture, as well as preserve fertility.
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References
Patel MA. Scar Ectopic Pregnancy. J Obstet Gynaecol India. 2015;65(6):372-5.
Chueh H-Y, Cheng P-J, Wang C-W, Shaw S-W, Lee C-L, Soong Y-K. Ectopic twin pregnancy in cesarean scar after in vitro fertilization/embryo transfer: case report. Fertil Steril. 2008;90(5):2009.e19-21.
Cesarean section scar ectopic pregnancy-a management conundrum: a case report. J Med Case Rep. Available at: https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-019-2069-9. Accessed on 2021 May 21.
Ectopic pregnancies in a Caesarean scar: review of the medical approach to an iatrogenic complication | Human Reproduction Update Oxford Academic. Available at: https://academic.oup.com/humupd/article/10/6/515/626622. Accessed on 2021 May 21.
Vaginal Bleeding-Types, Causes, Complications. Available at: https://www.healthgrades.com/right-care/womens-health/vaginal-bleeding. Accessed on 2021 May 21.
Magnetic Resonance Imaging as an Adjunct to Ultrasound in Evaluating Cesarean Scar Ectopic Pregnancy. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3692029/. Accessed on 2021 May 21
Shafqat G, Khandwala K, Iqbal H, Afzal S. Cesarean Scar Pregnancy: An Experience of Three Cases with Review of Literature. Cureus. 2021;10(2).
Abdelazim IA, Belal MM. The role of magnetic resonance imaging in refining the diagnosis of suspected fetal renal anomalies. J Turk Ger Gynecol Assoc. 2013;14(1):6-10.
Lee R, Dupuis C, Chen B, Smith A, Kim YH. Diagnosing ectopic pregnancy in the emergency setting. Ultrasonography. 2018;37(1):78-87.