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Case Reports
. 2021 Apr 13;13(4):e14463.
doi: 10.7759/cureus.14463.

Cesarean Scar Ectopic Pregnancy: A Diagnostic and Management Challenge

Koulshan Jameel  1 , Gul-E-Rana Abdul Mannan  1 , Rabiya Niaz  1 , Durr-E-Shahwar Hayat  2
Affiliations
Case Reports

Cesarean Scar Ectopic Pregnancy: A Diagnostic and Management Challenge

Koulshan Jameel et al. Cureus. .

Abstract

Cesarean section scar pregnancy is the rarest form of ectopic pregnancy. Cesarean scar ectopic pregnancy poses a diagnostic and management challenge, and if not diagnosed and adequately treated in early pregnancy, it may lead to considerable maternal morbidity or mortality. We describe the presentation, workup including radiology studies, and subsequent management plan of a cesarean scar ectopic pregnancy in a 34-year-old female with a history of four previous cesarean sections. We were successful in treating this rare form of ectopic pregnancy without any maternal morbidity with a combination of medical and surgical management.

Keywords: cesarean scar; ectopic pregnancy.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Transabdominal ultrasound showing 6 mm single small gestational sac with yolk sac of five weeks located in anterior part of lower uterine segment at cesarean scar, myometrium between bladder wall and gestational sac absent, and empty uterine cavity shown by red arrow.
Figure 2
Figure 2. MRI pelvis T2W FAT-SAT sagittal image showing empty gestational sac located in lower uterine segment partially attached to the previous cesarean (blue arrow) within the endometrium (yellow arrow). The myometrium between the sac and bladder wall appears very thin (red arrow). Bladder wall appears intact and smooth (green arrow).
T2W FAT-SAT, T2-weighted fat-saturation.
See this image and copyright information in PMC

References

    1. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Rotas MA, Haberman S, Levgur M. Obstet Gynecol. 2006;107:1373–1381. - PubMed
    1. Pregnancy in a cesarean scar. Vial Y, Petignat P, Hohlfeld P. https://doi.org/10.1046/j.1469-0705.2000.00300-2.x. Ultrasound Obstet Gynecol. 2000;16:592–593. - PubMed
    1. Ectopic pregnancies in caesarean section scars: the 8 year experience of one medical centre. Maymon R, Halperin R, Mendlovic S, Schneider D, Vaknin Z, Herman A, Pansky M. https://doi.org/10.1093/humrep/deh060. Hum Reprod. 2004;19:278–284. - PubMed
    1. Diagnosis and management of ectopic pregnancy: Green-top Guideline No. 21. Elson CJ, Salim R, Potdar N, Chetty M, Ross JA, Kirk EJ on behalf of the Royal College of Obstetricians and Gynaecologists. http://mms-cpd.org/upload/guides/ectopic%20pregnancy%20(3%20files%20merg... BJOG. 2016;123:0–5. - PubMed
    1. An ectopic pregnancy developing in a previous caesarian section scar. Godin PA, Bassil S, Donnez J. Fertil Steril. 1997;67:398–400. - PubMed

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