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Ectopic Pregnancy in Lower Segment Uterine Scar
Author(s) -
Roberts H.,
Kohlenber C.,
Lanzarone V.,
Murray H.
Publication year - 1998
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1998.tb02976.x
Subject(s) - ectopic pregnancy , medicine , myometrium , gestational sac , uterine cavity , uterine rupture , caesarean section , pregnancy , obstetrics , ultrasound , gynecology , surgery , uterus , radiology , genetics , biology
Summary: A case of ectopic pregnancy in a lower uterine segment scar following previous Caesarean section is reported. A significant scar defect may result in deep implantation within the myometrium with the risk of persistent pain and bleeding followed inevitably by uterine rupture. In this report we discuss a number of management options. Except in the special situation of superficial implantation in a shallow scar defect where there is ultrasound evidence of continuity of the gestational sac with the uterine cavity we would strongly advise termination of the pregnancy.