A case of cesarean scar ectopic pregnancy.

Mun, Seong Taek; Kim, Yun Sook; Kim, Mi Yeong; Jeon, Seob; Choi, Seung Do; Sunwoo, Jae Gun; Bae, Dong Han

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(10):1432-1436.
Published online October 1, 2007.

A case of cesarean scar ectopic pregnancy.

Seong Taek Mun, Yun Sook Kim, Mi Yeong Kim, Seob Jeon, Seung Do Choi, Jae Gun Sunwoo, Dong Han Bae

Department of Obstetrics and Gynecology, University of Soonchunhyang, College of medicine, Soonchunhyang University Chunan Hospital, Chunan, Korea. drsook@schch.co.kr

Abstract

Cesarean scar pregnancy is one of the rarest forms of ectopic pregnancy. Little is known about its incidence and natural history. With increasing incidence of caesarean section worldwide, more and more cases are diagnosed and reported. Transvaginal ultrasound and colour flow Doppler provides a high diagnostic accuracy with very few false positives. A delay in diagnosis and/or treatment can lead to uterine rupture, major haemorrhage, hysterectomy and serious maternal morbidity. Surgical management can be safe and effective and medical treatment can be selected as appropriate selection criteria. Patients with history of a pregnancy in a cesarean delivery scar should be advised of the risk for future uterine rupture and placenta accreta. We experienced a case of ectopic pregnancy with treatment of surgical excision and report with a brief review of literatures.

Key Words: Cesarean scar pregnancy, Ectopic pregnancy, Surgical excision