CASE REPORT
Ectopic pregnancy in a Caesarean section scar: a case study
More details
Hide details
Publication date: 2013-08-05
Medical Studies 2013;29(2):177-179
KEYWORDS
ABSTRACT
Implantation of a pregnancy in a scar after Caesarean section is one of the rarest locations of ectopic pregnancies. A diagnosis and/or treatment which is too late may lead to a uterine rupture, the necessity to remove the uterus and a significant increase in morbidity among mothers. The study presents a diagnostically difficult case of a 29-year-old woman, who was diagnosed with pregnancy in its seventh week, located in a scar after a Caesarean section, with highly increased values of human chorionic gonadotropin (β-HCG) concentration in blood serum. The pregnancy was removed and the wound was stitched during laparotomy, without a need to remove the uterus.
REFERENCES (12)
1.
Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. BJOG 2007; 114: 253–263.
2.
Weimin W, Wenqing L. Effect of early pregnancy on a previous lower segment cesarean section scar. Int J Gynaecol Obstet 2002; 77: 201–207.
3.
Seow KM, Cheng WC, Chuang J et al. Methotrexate for cesarean scar pregnancy after in vitro fertilization and embryo transfer. A case report. J Reprod Med 2000; 45: 754–757.
4.
.Ebner F, Nadar H, Petrich S et al. Caesarean scar pregnancy AT 19 weeks gestation. AJUM 2011; 14: 31–33.
5.
Jurkowic D, Hillaby K, Woelfler B et al. First-trimester diagnosis and management of pregnancies implantem into a lower uterine segment cesarean section scar. Ultrasound Obstet Gynecol 2003; 21: 220–227.
6.
Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies. Obstet Gynecol 2006; 107: 1373–1381.
7.
Chueh HY, Cheng PJ, Wang CW et al. Ectopic twin pregnancy in Caesarean scar after in vitro fertilization/embryo transfer: case report. Fertil Steril 2008; 90: 19–21.
8.
Vial Y, Petignat P, Hohlfeld P. Pregnancy in a cesarean scar. Ultrasound Obstet Gynecol 2000; 57: 537–543.
9.
Maymon R, Halperin R, Mendlovic S et al. Ectopic pregnancies. Obstet Gynecol 2004; 10: 515–523.
10.
.Fylstra D. Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Surv 2002; 57: 537–543.
11.
Fadhlaoni A, Khrouf M, Khemiri K et al. Successful conservative treatment of a cesarean scar pregnancy with systemically administered methotrexate and subsequent dilatation and curettage: a case report. Case Rep Obstet Gynecol 2012; 2012: 248564.
12.
Masegowa J, Ichizuha K, Matsuoka R et al. Limitations of conservative treatment for repeat cesarean scar pregnancy. Ultrasound Obstet Gynecol 2005; 3: 310–311.