Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Jan 15;4(1):65-68.
doi: 10.5811/cpcem.2019.10.43988. eCollection 2020 Feb.

Cesarean Scar Ectopic Pregnancy: Diagnosis With Ultrasound

Taryn Hoffman  1 , Judy Lin  1
Affiliations
Case Reports

Cesarean Scar Ectopic Pregnancy: Diagnosis With Ultrasound

Taryn Hoffman et al. Clin Pract Cases Emerg Med. .

Abstract

We present a rare case of cesarean scar ectopic pregnancy as diagnosed by transvaginal ultrasonography. Cases such as this are rare, but they are becoming more commonly detected with the growing frequency of cesarean sections, improving technology, and provider proficiency with point-of-care ultrasound. Quick identification of this dangerous diagnosis can be life saving for the patient, as the outcomes of ruptured cesarean ectopic pregnancy may include significant hemorrhage, uterine rupture, and possibly maternal death.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image
Image
Transvaginal ultrasound view of uterus in sagittal plane showing cesarean scar ectopic pregnancy. Myometrium thickness of anterior uterine segment (arrow) measures 0.35 centimeters, which meets diagnostic criteria for ectopic pregnancy.
Figure
Figure
Anatomic depiction of uterus with cesarean scar ectopic pregnancy. Features of cesarean scar ectopic pregnancy seen here include an empty uterus, gestational sac implanted in lower anterior segment of uterus with thin myometrium and empty cervical canal.
See this image and copyright information in PMC

References

    1. Gonzalez N, Tulandi T. Cesarean scar pregnancy: a systematic review. J Minim Invasive Gynecol. 2017;24(5):731–8. - PubMed
    1. Abbas A, Ali S, Nagy M, et al. Accidental diagnosis and conservative management of a case of first-trimester cesarean scar ectopic pregnancy. Int J Reprod Contracept Obstet Gynecol. 2018;7(4):1628–30.
    1. Dibble E, Lourenco A. Imaging unusual pregnancy Implantations: rare ectopic pregnancies and more. AJR Am J Roentgenol. 2016;207(6):1380–92. - PubMed
    1. Maheux-Lacroix S, Li F, Bujold E, et al. Cesarean scar pregnancies: a systematic review of treatment options. J Minim Invasive Gynecol. 2017;24(6):915–25. - PubMed
    1. Birch Petersen K, Hoffmann E, Rifbjerg Larsen C, et al. Cesarean scar pregnancy: a systematic review of treatment studies. Fertil Steril. 2016;105(4):958–67. - PubMed

Publication types