scholarly journals A rare Case of Cesarean Section Scar Ectopic Pregnancy Managed by Laparotomy

2021 ◽  
Vol 15 (6) ◽  
pp. 1362-1364
Author(s):  
M. U Nisa ◽  
N. Ayub ◽  
M. Gut ◽  
Nudrat .
Keyword(s):  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Anterior Abdominal Wall ◽  
Good Condition ◽  
Rare Form ◽  
Beta Hcg ◽  
Rupture Of Uterus ◽  
Elective Procedure ◽  
Gestational Sac ◽  
Previous Cesarean

Cesarean section scar ectopic pregnancy (CSEP) is defined as a pregnancy in which blastocyst is implanted within the scar of previous cesarean section. It is a rare form of ectopic but its frequency is increasing due to increasing rate of cesarean section. In this case, a 36 years old G3P2A0, married for 10 years, previous II C/Sections, LCB 7 years back, presented with ultrasound report of the viable pregnancy at 11+1 weeks with gestational sac incorporating into previous scar of cesarean section. She was otherwise asymptomatic and stable. Serum Beta hCG was 73664.78 IU/L. Laparotomy was done as an elective procedure. Dense adhesions were noted on opening the abdomen between anterior abdominal wall, uterus, bladder and gut. Scar ectopic pregnancy was excised after dissecting the adhesions. Her Serum Beta hCG 48 hour post-operatively was 1397.0 IU/L.Patient was discharged home on 2nd post-operative day in good condition. She was counselled about risk of a recurrent scar ectopic and rupture of uterus in next pregnancy. Her serum Beta hCG declined to normal by 4 weeks post operatively. Keywords: Cesarean section, scar ectopic, laparotomy

An ectopic pregnancy embedded in the myometrium of a previous cesarean section scar

1997 ◽  
Vol 76 (5) ◽  
pp. 492-492 ◽  
Author(s):  
A. Rempen ◽  
Ying Ming Lai ◽  
Jing Der Lee ◽  
Chi Long Lee ◽  
Yung Kuei Soong
Keyword(s):  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Previous Cesarean Section ◽  
Previous Cesarean

scholarly journals A Case of Ovarian Pregnancy Diagnosed by MRI

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Shingo Io ◽  
Masaaki Hasegawa ◽  
Takashi Koyama
Keyword(s):  
Ectopic Pregnancy ◽  
High Intensity ◽  
Transvaginal Ultrasonography ◽  
Mr Images ◽  
Diagnostic Challenge ◽  
Rare Form ◽  
Low Intensity ◽  
Ovarian Pregnancy ◽  
Gestational Sac ◽  
The Right

Ovarian pregnancy is a rare form of ectopic pregnancy, causing a great diagnostic challenge. We report a case of ovarian pregnancy in a 42-year-old woman, in whom MRI successfully demonstrated the implantation in the ovary. Transvaginal ultrasonography showed an echogenic mass in the right ovary but failed to demonstrate tubal pregnancy. T2-weighted MR images disclosed a gestational sac structure in the right ovary, which exhibited heterogeneous high intensity intermingled with punctate foci of distinct low intensity. MRI may be a useful tool for diagnosing ovarian pregnancy, by demonstrating a gestational sac in the ovary.

An ectopic pregnancy embedded in the myometrium of a previous cesarean section scar

1995 ◽  
Vol 74 (7) ◽  
pp. 573-576 ◽  
Author(s):  
Ying-Ming Lai ◽  
Jing-Der Lee ◽  
Chi-Long Lee ◽  
Tse-Ching Chen ◽  
Yung-Kuei Soong
Keyword(s):  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Previous Cesarean Section ◽  
Previous Cesarean

scholarly journals Gestational Sac Aspiration of Heterotopic Ectopic Pregnancy in a Cesarean Section Scar

2013 ◽  
Vol 29 (6) ◽  
pp. 317-320 ◽  
Author(s):  
Mohamed F. Mitwally ◽  
Reda Alami ◽  
Hafsa Albuarki ◽  
Michael P. Diamond ◽  
Mostafa Abuzeid ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Gestational Sac

scholarly journals Cesarean scar pregnancy: an upcoming challenge

2018 ◽  
Vol 7 (6) ◽  
pp. 2226
Author(s):  
Sunil K. Juneja ◽  
Pooja Tandon ◽  
Bhanupriya .
Keyword(s):  
Ectopic Pregnancy ◽  
Successful Outcome ◽  
Cesarean Scar Pregnancy ◽  
Excessive Bleeding ◽  
Dose Administration ◽  
Cesarean Scar ◽  
Cesarean Deliveries ◽  
Beta Hcg ◽  
Life Threatening ◽  
Previous Cesarean

Background: Cesarean scar pregnancy (CSP) is a type of ectopic pregnancy implanted in the myometrium at the site of previous cesarean scar. Incidence of cesarean deliveries are increasing globally, leading to rise in incidence of cesarean scar pregnancy. Caesarean scar pregnancies are associated with some life-threatening complications such as scar rupture, haemorrhage, disseminated intravascular coagulation, requiring lifesaving hysterectomy. We present our experience with 11 patients with cesarean scar pregnancy, diagnosed using transvaginal colour doppler ultrasound during 3-year period and treated conservatively to preserve the uterus with successful outcome in all patients.Methods: This was a retrospective study, conducted in the Department of Obstetrics and Gynecology of DMC&H, Ludhiana from January 2015 to December 2017. Out of total deliveries (4278), 3.9% (171/4278) were diagnosed as ectopic pregnancy. 6.43% (11/171) of them were diagnosed as cesarean scar ectopic pregnancy. After counseling, all patients underwent conservative management. Injection methotrexate 50mg was administered intramuscularly and beta- HCG was monitored after 4 days and then weekly till it was <1.Results: 2 patients had an increase in beta HCG levels on day 7 and required second dose of methotraxate. 8 patients required blood transfusion due to excessive bleeding on admission. In 9 patients beta HCG levels reduced to <1 in 7 weeks post first methotraxate dose administration, and in remaining 3 it returned to <1 after 8 weeks . No patient required any surgical intervention.Conclusions: Cesarean scar pregnancy, a type of ectopic pregnancy can be safely managed conservatively if diagnosed early.

scholarly journals A ruptured cornual pregnancy: a case report

2020 ◽  
Vol 9 (9) ◽  
pp. 3870
Author(s):  
Hind Ennasser ◽  
Jamal Eddine Raoudi ◽  
Hafsa Taheri ◽  
Hanane Saadi ◽  
Ahmed Mimouni
Keyword(s):  
Emergency Department ◽  
Ectopic Pregnancy ◽  
Vaginal Bleeding ◽  
Lower Abdominal Pain ◽  
High Rate ◽  
Cornual Pregnancy ◽  
Rare Form ◽  
Beta Hcg ◽  
Obstetrical Emergency ◽  
Hcg Test

A cornual gestation is a rare form of ectopic gestations accounting for 2-4% of all tubal pregnancies with a high rate of mortality among to 2%-2.5%. A 25 years old woman prima gravida was presented to the obstetrical emergency department with 8 weeks amenorrhea, lower abdominal pain and vaginal bleeding. A clinical diagnosis of ectopic pregnancy was made and confirmed using Ultrasonography and serum beta-hCG test. On laparotomy exploration authors found a left cornual ruptured ectopic pregnancy then authors made a left cornual resection with left salpingectomy. There were no postoperative complications.

scholarly journals Conservative treatment of ectopic pregnancies: Comparison of velocity of decrease of beta-hcg between spontaneous and methotrexate induced resorptions

2004 ◽  
Vol 132 (5-6) ◽  
pp. 163-166
Author(s):  
Milan Dokic ◽  
Dusan Perisic
Keyword(s):  
Conservative Treatment ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Tubal Pregnancy ◽  
International Standards ◽  
The Third ◽  
Beta Hcg ◽  
Gestational Sac ◽  
Methotrexate Treatment ◽  
Ectopic Pregnancies

The evolution of the process can take two different directions. If an intact pregnancy continues to grow, there is a tubal abortion or a rupture of the Fallopian tube. In the oppsote case, there is spontaneous resorption of the tubal pregnancy. In certain cases with the application of methotrexate, the ectopic pregnancy growth can be interrupted and spontaneous resorption can be induced. Nowadays, the international standards of treating patients with early ectopic gravidities and no peritoneal effusions, with ?-HCG values below 6000 Ul/I, gestational sac diameter below 3 cm, and without any visible heart action, imply methotrexate treatment. The objective of this study is to prove the efficiency of methotrexate use in patients who meet the above criteria. The first group did not manifest satisfying decrease of ?-HCG after two measurements, so methotrexate was used, while the second group showed satisfying decrease of ?-HCG, measured on the third day. Comparing the velocity of decrease of ?-HCG level among both groups of patients, it was proved that iatrogenically induced decrease, that is to say the achieved resorption, was equal to the spontaneous resorption, which justified the use of methotrexate in ectopic pregnancy treatment.

Sign in / Sign up

Export Citation Format

Share Document