Abstract
Abstract Introduction This is a case of a 35-year-old G4P3 female with history of one prior cesarean section who presented to the emergency department with vaginal bleeding. She was found to be pregnant, and an ultrasound identified a cesarean scar ectopic pregnancy. Methods This is a case report and brief review of the literature. Conclusion Cesarean scar ectopic is a rare form of ectopic pregnancy that implants within the myometrium at the site of a prior cesarean section scar. It carries the potential for serious maternal morbidity and mortality, including complications like uterine rupture, life-threatening hemorrhage, and need for hysterectomy. All sonographers who scan patients in first-trimester pregnancy should be aware of the criteria to diagnose this entity, as cesarean scar ectopic can otherwise be confused with cervicoisthmic pregnancy or spontaneous abortion in progress.
Highlights
Received: 26 January 2011 / Accepted: 3 February 2011 / Published online: 5 March 2011 Ó Springer-Verlag 2011. Introduction This is a case of a 35-year-old G4P3 female with history of one prior cesarean section who presented to the emergency department with vaginal bleeding
Cesarean scar ectopic is a rare form of ectopic pregnancy that implants within the myometrium at the site of a prior cesarean section scar
All sonographers who scan patients in first-trimester pregnancy should be aware of the criteria to diagnose this entity, as cesarean scar ectopic can otherwise be confused with cervicoisthmic pregnancy or spontaneous abortion in progress
Summary
Because of its potential for both morbidity and mortality, including complications like uterine rupture, life-threatening hemorrhage and need for hysterectomy, healthcare professionals should maintain a heightened index of suspicion for the possibility of cesarean scar ectopic pregnancy.
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