Open AccessA rare case of ectopic pregnancy in a caesarean section scar: a case report
Author(s) -
Omer A. Mahmoud,
Mustafa Z. Mahmoud
Publication year - 2017
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20170010
Subject(s) - medicine , caesarean section , ectopic pregnancy , curettage , laparotomy , uterine artery embolization , hysterectomy , pregnancy , surgery , methotrexate , embolization , uterus , obstetrics , laparoscopy , uterine rupture , genetics , biology
Intramural pregnancy with implantation in a previous caesarean section scar is probably the rarest location for an ectopic pregnancy. Little is known about its incidence and natural history. This rare condition may be accompanied by serious clinical events, such as rupture of the uterus and unrestrainable haemorrhage, which are sometimes treated with hysterectomy causing sterility. Most treatment choices are effectual, such as dilatation and curettage (D and C), excision of trophoblastic tissues using either laparotomy or laparoscopy, systemically administered methotrexate and, more recently, uterine artery embolization. Here, we report a case of an ectopic pregnancy that occurred in the scar of a previous caesarean section, which was diagnosed by transvaginal sonography.