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Case Reports
. 2009 Aug 18:2:7794.
doi: 10.4076/1757-1626-2-7794.

Conservative management of a Cesarean scar ectopic pregnancy: a case report

Luce Tulpin  1 , Olivier Morel, Cécile Malartic, Emmanuel Barranger
Affiliations
Case Reports

Conservative management of a Cesarean scar ectopic pregnancy: a case report

Luce Tulpin et al. Cases J. .

Abstract

Introduction: Cesarean scar pregnancy is the rarest kind of ectopic pregnancy. The immediate prognosis depends on the risks associated with uterine rupture and massive bleeding.

Case presentation: A 32-year-old woman (gravida 2, para 1) presented with massive vaginal bleeding. A Cesarean scar pregnancy was diagnosed. She was treated by local methotrexate injection, followed by uterine artery embolization. Recurrence of bleeding necessitated two repeat embolizations. Hysteroscopy four months later revealed the presence of a uterine defect within the Cesarean section scar.

Conclusion: Cesarean scar pregnancy should be diagnosed and treated as soon as possible to prevent severe complications and spare fertility.

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Figures

Figure 1.
Figure 1.
Diagnosis: (Left) 5-cm diameter cervico-isthmic gestational sac as seen on endovaginal ultrasonography; (Right) laparoscopic exploration.
Figure 2.
Figure 2.
Uterine defect within the Caesarean section scar 4 months after treatment: (Left) endovaginal ultrasonography; (Right) hysteroscopy.
See this image and copyright information in PMC

References

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