Management of caesarean scar ectopic pregnancy: a case report
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20202368Keywords:
Caesarean scar ectopic, Magnetic resonance imaging, Transvaginal sonography, Uterine ruptureAbstract
Caesarean scar ectopic involves an abnormal implantation of the embryo within the myometrium of previous caesarean scar. It is a rare and serious entity involving maternal complication like abnormal placentation, hemorrhage or death due to uterine rupture. Authors present a case report of 32 years old female diagnosed as a case of caesarean scar ectopic pregnancy on TVS and MRI and managed conservatively by USG guided D and C.
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References
Seow KM, Hwang JL, Tsai YL, Huang LW, Lin YH, Hsieh BC. Subsequent pregnancy outcome after conservative treatment of a previous cesarean scar pregnancy. Acta Obstet Gynecol Scand. 2004;83(12):1167-72.
Graesslin O, Dedecker F, Quereux C, Gabriel R. Conservative treatment of ectopic pregnancy in a cesarean scar. Obstet Gynecol. 2005;105(4):869-71.
Seow KM, Cheng WC, Chuang J, Lee C, Tsai YL, Hwang JL. Methotrexate for cesarean scar pregnancy after in vitro fertilization and embryo transfer. A case report. J Reprod Med. 2000;45(9):754-7.
Godin PA, Bassil S, Donnez J. An ectopic pregnancy developing in a previous caesarian section scar. Fertil Steril. 1997;67(2):398-400.
Persadie RJ, Fortier A, Stopps RG. Ectopic pregnancy in a caesarean scar: a case report. J Obstet Gynaecol Can. 2005;27(12):1102-6.
Sugawara J, Senoo M, Chisaka H, Yaegashi N, Tohoku OK. Successful conservative treatment of a cesarean scar pregnancy with uterine artery embolization. J Exp Med. 2005;206(3):261-5.
Yang MJ, Jeng MH. Combination of transarterial embolization of uterine arteries and conservative surgical treatment for pregnancy in a cesarean section scar: a report of 3 cases. J Reprod Med. 2003;48(3):213-6.
Herman A, Weinraub Z, Avrech O, Maymon R, Ron-El R, Bukovsky Y. Follow up and outcome of isthmic pregnancy located in a previous caesarean section scar. Br J Obstet Gynaecol. 1995;102(10):839-41.
Zhang Y, Gu Y, Wang JM, Li Y. Analysis of cases with cesarean scar pregnancy. J Obstet Gynaecol Res. 2013;39(1):195-202.
McKenna DA, Poder L, Goldman M, Goldstein RB. Role of sonography in the recognition, assessment, and treatment of cesarean scar ectopic pregnancies. J Ultrasound Med. 2008;27(5):779-83.
Stevens EE, Ogburn P. Cesarean scar ectopic pregnancy: a case report of failed combination local and systemic methotrexate management requiring surgical intervention. J Reprod Med. 2011;56(7-8):356-8.