The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

Ectopic pregnancy in the previous cesarean scar (A Case Report)

Document Type : Original Article

Authors
Malihe Hasanzade Mofrad 1
Elham Hoseini 2
Marjaneh Farazestanian 2
Mahnaz Boroumand 3
1 Assistant professor, Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Fellowship of Oncology, Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Resident of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/ijogi.2015.4697
Abstract
Introduction: Cesarean scar ectopic pregnancy (CSP)   is   a rare   type of   ectopic   pregnancy  , but is   very   important   because   of   potentially dangerous    complications. The   patients complicated by this usually refer    with abdominal   pain or   vaginal   bleeding. The   diagnosis   is   usually    difficult   and    done by an experienced radiologist. This article presents a case of ectopic pregnancy in previous caesarean scar.
Case report: in this study, the patient was a   36   years   old   woman   with   a diagnosis   of   ectopic pregnancy   in previous cesarean scar who   underwent laparotomy because of abdominal   pain and   bleeding, with regard to the patient's tendency   for   fertility   preserving, the pregnancy sac      was   resected   and   the   myometrium   was   sutured   in   multi-layers, and fortunately, the uterus was preserved.
Conclusion: Because of the high prevalence of patients with previous cesarean   section, it is very important to early diagnose the cesarean scar pregnancy, and the best diagnosis method is transvaginal sonography. According to the gestational age and the patient's condition, treatment can be medical or surgical.
Keywords
Complications
Cesarean scar pregnancy
ectopic pregnancy
Treatment
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