scholarly journals Management of caesarean scar ectopic pregnancy: a case report

2020 ◽  
Vol 9 (6) ◽  
pp. 2646
Author(s):  
Smritee Virmani ◽  
Pushpa Kaul
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Uterine Rupture ◽  
Abnormal Placentation ◽  
Maternal Complication ◽  
Caesarean Scar

Caesarean scar ectopic involves an abnormal implantation of the embryo within the myometrium of previous caesarean scar. It is a rare and serious entity involving maternal complication like abnormal placentation, hemorrhage or death due to uterine rupture. Authors present a case report of 32 years old female diagnosed as a case of caesarean scar ectopic pregnancy on TVS and MRI and managed conservatively by USG guided D and C.

scholarly journals Caesarean Scar Ectopic Pregnancy Treated with local Methotrexate: A Case Report

2016 ◽  
Vol 30 (1) ◽  
pp. 43-48
Author(s):  
Jobaida Sultana ◽  
Farhana Dewan ◽  
Rezaul Karim Kazal ◽  
Md Manir Hossain Khan ◽  
Mahmuda Sultana
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Uterine Rupture ◽  
Massive Hemorrhage ◽  
Local Injection ◽  
Transvaginal Sonography ◽  
Cervical Pregnancy ◽  
Caesarean Scar ◽  
Gestational Sac ◽  
In Pregnancy

Ectopic pregnancy in a caesarean scar is the rarest form of ectopic pregnancy and probably the most dangerous one because of the risk of uterine rupture and massive hemorrhage. Since the advent of endovaginal ultrasonography, ectopic pregnancy in a caesarean scar can be diagnosed and distinguished from cervical pregnancy early in pregnancy. Here we describe a case of ectopic pregnancy in a caesarean scar in which the diagnosis was done at 6 weeks of pregnancy by transvaginal sonography and confirmed by MRI. The case was successfully managed by ultrasonography guided local injection of methotrexate into the gestational sac through trans abdominal route.Bangladesh J Obstet Gynaecol, 2015; Vol. 30(1) : 43-48

A case report of ectopic pregnancy in a caesarean scar

2018 ◽  
Vol 5 (2) ◽  
pp. 15-17
Author(s):  
Bharath Reddy G ◽  
◽  
Venkatram Reddy K ◽  
Rama Krishna Reddy G ◽  
R S Moorthy ◽  
...  
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Caesarean Scar

Caesarean Scar Ectopic Pregnancy Case : Report and Literature Review

2015 ◽  
Vol 51 (3) ◽  
pp. 41-47
Author(s):  
Moawia E. Hummeida ◽  
Eltayeb Abdel Rahman ◽  
Abdallah Ahmed
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Ectopic Pregnancy ◽  
Caesarean Scar

scholarly journals Caesarean Scar Pregnancy - A Rare Case Report

2016 ◽  
Vol 27 (2) ◽  
pp. 83-86 ◽  
Author(s):  
Razia Sultana ◽  
Saiful Islam ◽  
Nurjahan
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Transvaginal Sonography ◽  
Emergency Laparotomy ◽  
Colour Doppler ◽  
Caesarean Scar ◽  
Incomplete Abortion ◽  
Rare Case Report ◽  
Life Threatening

Objective:The aim is to publish the case report of the rarely occurring and life threatening ectopic pregnancy developing in a Caesarean section scar causing uterine rupture.Methods and Results: This patient was diagnosed initially as a case of incomplete abortion. Other possible diagnoses were molar pregnancy, mass in the cervix. She was admitted in hospital for evacuation and curettage. During the procedure she developed severe pervaginal bleeding leading to hypovolumic shock. So decision was taken for emergency laparotomy. After opening the abdomen rupture was found in the lower uterine segment extending upto upper part of cervix. So hysterectomy was performed and histopathology confirmed the diagnosis of ectopic pregnancy that developed in a Caesarean section scar Analysis of the women’s obstetric history revealed that she had been previously operated because of breech presentation.Conclusion: Heightened awareness of the possibility of pregnancy in caesarean scar and early diagnosis by means of transvaginal sonography along with colour doppler can improve outcome and minimize the need for emergency extended surgeryBangladesh J Obstet Gynaecol, 2012; Vol. 27(2) : 83-86

scholarly journals Cesarean Scar Ectopic Pregnancy

2021 ◽  
Vol 11 (5) ◽  
pp. 358-361
Author(s):  
Sunil V. Jagtap ◽  
Nitin Kshirsagar ◽  
Ramnik Singh
Keyword(s):  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Uterine Rupture ◽  
Vaginal Bleeding ◽  
Hypovolemic Shock ◽  
Lower Uterine Segment ◽  
Caesarean Scar ◽  
Anterolateral Wall ◽  
History Of ◽  
Gestational Sac

Caesarean Scar Ectopic Pregnancy (CSEP) is one of the rarest forms of ectopic pregnancy. We present a 30 year female presented with 8 weeks of amenorrhea. Her obstetric history was G3P2D2. Her B HCG levels were >10,000 IU/L. She had history of previous 2 lower uterine segment Caesarean section. She was referred to our hospital in stage of severe hypovolemic shock related to vaginal bleeding. USG findings were suggestive of death of fetus of about 6 weeks 5 days. Gestational -sac at lower uterine segment Caesarean section scar level. Radiological diagnosis was? Scar pregnancy. On histopathology diagnosed as Caesarean scar ectopic pregnancy with area of rupture in anterolateral wall of lower uterine segment and upper cervix. The endometrium was unremarkable. We are presenting this case for its rarity, clinical radiological and histopathological findings. Key words: Scar ectopic pregnancy, Uterine rupture, Gestation, Caesarean section.

scholarly journals A Ruptured Cornual Ectopic Pregnancy at 17 Weeks Gestation: A Case Report

2014 ◽  
Vol 4 (1) ◽  
pp. 50-51
Author(s):  
MI Khan ◽  
R Nyeer ◽  
R Laila ◽  
S Jahan
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Uterine Rupture ◽  
Cornual Pregnancy ◽  
Rudimentary Horn ◽  
Ectopic Gestation

Cornual pregnancy is a specific variety of ectopic gestation which occurs in the rudimentary horn of the uterus. It often rupture later than other tubal pregnancies because the myometrium is more distensible than the fallopian tube. Traditionally, the treatment is cornual resection (removal of rudimentary horn) or hysterectomy where the pedicle is short and the attachment is wide. Here, we report a case where cornual pregnancy was diagnosed at 17 weeks of gestation after uterine rupture and profound haemorrhage. The patient underwent laparotomy followed by cornual resection with salpingectomy. DOI: http://dx.doi.org/10.3329/birdem.v4i1.18558 Birdem Med J 2014; 4(1): 50-51

scholarly journals Abnormal placentation in caesarean scar ectopic pregnancy

2016 ◽  
pp. bcr2016217311
Author(s):  
Melissa J Chen ◽  
Eric C Huang ◽  
Melody Y Hou
Keyword(s):  
Ectopic Pregnancy ◽  
Abnormal Placentation ◽  
Caesarean Scar

scholarly journals A rare case of caesarean scar ectopic pregnancy: a case report

2020 ◽  
Vol 9 (3) ◽  
pp. 1315
Author(s):  
Hiremath P. B. ◽  
Vinothini Anandabaskar ◽  
Nivedhana Arthi ◽  
Rohini E. ◽  
Indu N. R.
Keyword(s):  
Case Report ◽  
Postoperative Complications ◽  
Early Diagnosis ◽  
Ectopic Pregnancy ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Rare Entity ◽  
Caesarean Scar ◽  
Maternal Morbidity And Mortality ◽  
Gestational Sac

Scar ectopic pregnancy is a condition where the gestational sac implants into the previous caesarean scar site. Although it is a rare entity, its incidence is increasing due to rising rates of caesarean deliveries. Here authors report a case of caesarean scar ectopic pregnancy managed by laparotomy with caesarean scar ectopic excision following failed medical management. The patient recovered without any intraoperative or postoperative complications. An early diagnosis and management are vital in preventing maternal morbidity and mortality.

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