Abstract
Caesarean scar ectopic is one of the rarest of all ectopic pregnancies. Although rare, the incidence is increased due to number of caesarean section is more now a days and by implantation of blastocyst on a previous Caesarean scar. This study presents a case of a rare scar ectopic pregnancy in a young female and the importance of early diagnosis and treatment. Ultrasound is the primary imaging modality and place a very important role in recognising and providing proper early diagnosis. If untreated these can have serious complication for the patient including bleeding, rupture of uterus and maternal death.
Keywords: Cesarean scar pregnancy, Beta HCG, TVS, MRI, CSP.
References
- Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: Etiology, diagnosis and management. Obstet Gynecol. 2006; 107: 1373–81. [PubMed] [Google Scholar]
- Timor-Tritsch IE, Monteagudo A (2012) Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review. Am J Obstet Gynecol 207: 14-29.
- J. Cheng, H.Y. Chueh, Y.K. Soong Sonographic diagnosis of a uterine defect in a pregnancy at 6 weeks gestation with a history of curettage Ultrasound Obstet Gynecol, 21 (2003), pp. 501-503.
- L. Fylstra Ectopic pregnancy within a Caesarian scar: a review Obstet Gynecol Surv, 57 (2002), pp. 537-543
- J. Hamilton, J. Legarth, K.A. Jaroudi Intramural pregnancy after in vitro fertilization and embryo transfer Fertil Steril, 57 (1992), pp. 215-217
- Vial Y, Petignat P, Hohlfeld P. Pregnancy in a cesarean scar. Ultrasound Obstet Gynecol. 2000; 16:592–3. [PubMed] [Google Scholar])
- Bozkurt DK, Bozkurt M, Sahin L (2014) Magnetic Resonance Imaging in Addition to Ultrasound in the Diagnosis of Cesarean Scar Ectopic Pregnancy. J Med Cases 5: 329-333.
- Jurkovic, K. Hillaby, B. Woelfer, A. Lawrence, R. Salim, C.J. ElsonFirst-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Caesarian section scar Ultrasound Obstet Gynecol, 21 (2003), pp. 220-227
- Ravhon, A. Ben Chetrit, R. Rabinowitz, M. Neuman, U. Beller Successful methotrexate treatment of a viable pregnancy within a thin uterine scar Br J Obstet Gynecol, 104 (1997), pp. 628-629.
- Armstrong, W.F. Hansen, B.J. Van Voorhis, C.H. Syrop Detection of Caesarian scars by transvaginal ultrasound. Obstet Gynecol, 101 (2003), pp. 61-65.
- A. Monteagudo, C. Carreno, I.E. Timor-Tritsch Saline infusion sonohysterography in non pregnant women with previous Caesarian delivery: the ‘niche’ in the scar. J Ultrasound Med, 20 (2001), pp.1105-1115.
Corresponding Author
Bala Bharathi
Post Graduate, Department of Radiology, Rajah Muthiah Medical College and Hospital, Chidambaram
DOI: https://dx.doi.org/10.18535/jmscr/v8i9.46
