Cesarean section scar ectopic pregnancy: a clinical case series

Rupture of the uterus, or a violation of the integrity of its walls, is a severe manifestation of obstetric injury. The decrease in the frequency of uterine ruptures due to mechanical causes, careless obstetric interventions gave way to histopathic organ ruptures due to cesarean section surgery, conservative myomectomy, tubectomy. This publication presents a clinical case of the onset of rupture due to the failure of the suture on the uterus after an ectopic pregnancy in the interstitial section of the fallopian tube, diagnosed at 33 weeks of gestation and culminating in a newborn weighing 2 176 grams, 46 cm long in severe asphyxiation. The case presented is a rare severe obstetric pathology with a high risk of maternal and infant mortality.

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Cesarean Section Scar Ectopic Pregnancy in the Second Trimester: An Underrecognized Complication of Cesarean Deliveries

Case Reports in Obstetrics and Gynecology ◽

10.1155/2021/8888019 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Sharonne Holtzman ◽

Mary Louise Kiernan ◽

Jaimie Huntly ◽

Valentin Kolev ◽

Konstatin Zakashansky

Keyword(s):

Literature Review ◽

Cesarean Section ◽

Ectopic Pregnancy ◽

Case Series ◽

Laparoscopic Hysterectomy ◽

Second Trimester ◽

Placenta Increta ◽

Management Guidelines ◽

Cesarean Deliveries ◽

Current Guidelines

The aim of this paper is to present a case of a cesarean section ectopic pregnancy (CSP) diagnosed in the second trimester and perform a literature review of current guidelines for the management of CSP in the second trimester. This was exempt from the Mount Sinai IRB. This is a case is of a 35-year-old P1122 at 13w4d who presented to our hospital with vaginal spotting and abdominal pain. The patient was found to have a cesarean section ectopic pregnancy with placenta increta. There are no management guidelines for second trimester CSP, and the published material is minimal. A literature review was completed and demonstrated two cases and one case series published on management of existing literature on management of second trimester CSP. Our patient underwent an uncomplicated total laparoscopic hysterectomy with bilateral salpingectomy, bilateral ureterolysis, and cystoscopy. She had an uncomplicated postoperative course and was discharged on postoperative day three with an unremarkable recovery at her two-week postoperative visit.

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Ectopic pregnancy in the uterus scar left after cesarean section: a clinical case

Obstetrics Gynecology and Reproduction ◽

10.17749/2313-7347.2018.12.2.069-075 ◽

2018 ◽

Vol 12 (2) ◽

pp. 69-75

Author(s):

A. N. Rybalka ◽

A. N. Sulima ◽

D. А. Beglitse ◽

O. A. Mitrofanova ◽

O. S. Latyshev ◽

...

Keyword(s):

Cesarean Section ◽

Ectopic Pregnancy ◽

Clinical Case ◽

Reproductive Organ ◽

Uterine Scar

The article describes a rare clinical case of ectopic pregnancy in the uterine scar left after a cesarean section. The case demonstrates the complexity of diagnosing this abnormality and managing such patients. The proposed approach allowed us to diagnose pregnancy in the uterus scar in due time, avoid hysterectomy, and preserve the reproductive organ.

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