Abstract
Ectopic pregnancy is a quite common and life-threatening pregnancy. The most common site of ectopic implantation of a fertilized embryo is the fallopian tube. In extremely rare situations, the embryo can implant in other locations, which makes the diagnosis and management even more complex. Although close observation of a new pregnancy is key in the diagnosis and treatment of an ectopic pregnancy, there is still a major risk of life-threatening outcomes. This is a case report of a 31-year-old patient with a history of multiple pregnancies who presented to a community hospital in the spring of 2021 with an ectopic caesarean scar pregnancy. A diagnosis of ectopic pregnancy was on a timely basis, and surgical management was advised. Upon refusal of treatment and admission, pharmacological management was initiated, but patient compliance challenged the success of the therapy. Patient non-compliance to close follow-up resulted in a ruptured uterus. Emergency laparotomy with supracervical hysterectomy was performed as a life-saving procedure.
Highlights
Ectopic pregnancy is the implantation of a blastocyst in a location other than the endometrium
We report a case of a caesarean scar ectopic pregnancy initially treated with conservative management
The early embryo can implant on the scar tissue itself in a microscopic wall defect of the healing uterus [5]
Summary
Ectopic pregnancy is the implantation of a blastocyst in a location other than the endometrium. The Challenge of the Non-Compliant Patient: A Case of Caesarean Section Scar Ectopic Pregnancy This is a case report of a 31-year-old patient with a history of multiple pregnancies who presented to a community hospital in the spring of 2021 with an ectopic caesarean scar pregnancy. A diagnosis of ectopic pregnancy was on a timely basis, and surgical management was advised.
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