Two Cases of Ectopic Pregnancy Implanted in the Previous Cesarean Section Scar Treated with Dilatation and Evacuation after Vaginal Misoprostol.

Kim, Cheong Mee; Seo, Kyung; Chay, Doo Byung; Lee, Dae Woo; Cho, Si Hyun; Hwang, Ju Youn

Case Report

Korean Journal of Obstetrics & Gynecology 2004;47(7):1453-1456.
Published online July 1, 2004.

Two Cases of Ectopic Pregnancy Implanted in the Previous Cesarean Section Scar Treated with Dilatation and Evacuation after Vaginal Misoprostol.

Cheong Mee Kim, Kyung Seo, Doo Byung Chay, Dae Woo Lee, Si Hyun Cho, Ju Youn Hwang

Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Implantation of a pregnancy within the scar of previous cesarean section is the rarest form of ectopic pregnancy. If diagnosed early, treatment options are capable of preserving the uterus and subsequent fertility. However, delayed diagnosis and treatment can lead to uterine rupture, hemorrhage and maternal morbidity. We present two cases of ectopic pregnancy developing in the previous cesarean section scar in which successfully treated with dilatation and evacuation after vaginal misoprostol.

Key Words: Ectopic pregnancy, Cesarean section scar, Misoprostol