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. 2012:2012:106892.
doi: 10.1155/2012/106892. Epub 2012 Oct 30.

Ruptured ectopic pregnancy in caesarean section scar: a case report

Kamal Singh  1 , Anjali Soni, Shelly Rana
Affiliations

Ruptured ectopic pregnancy in caesarean section scar: a case report

Kamal Singh et al. Case Rep Obstet Gynecol. 2012.

Abstract

Pregnancy implantation within previous caesarean scar is one of the rarest locations for an ectopic pregnancy. Incidence of caesarean section is increasing worldwide and with more liberal use of transvaginal sonography, more cases of caesarean scar pregnancy are being diagnosed in early pregnancy thus allowing preservation of uterus and fertility. However, a delay in either diagnosis or treatment can lead to uterine rupture, hysterectomy, and significant maternal morbidity. We are reporting a rare case of first trimester caesarean scar pregnancy with viable fetus in the process of rupture, where uterine repair could be done, thus preserving the future fertility.

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Figures

Figure 1
Figure 1
Transabdominal ultrasound showing gestational sac with fetus in the lower uterine segment.
Figure 2
Figure 2
Intact gestational sac along with placental tissue seen protruding through previous caesarean scar defect.
See this image and copyright information in PMC

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