Caesarean Scar Ectopic Pregnancy

Tadesse, Workineh G.

doi:10.5772/intechopen.89023

Cited by 3 publications

(3 citation statements)

References 43 publications

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“…Contrary to a common misconception, the risk of scar ectopic gestation does not increase with an increase in the number of previous cesarean sections done on the patient. 6 Ultrasound performed by a good radiologist remains the first line of investigation to diagnose scar ectopic pregnancy. As per ultrasound, scar ectopic gestation can be classified into Types I to IV where Type IV is the most dangerous one which may even have extensions up to the bladder.…”

Section: Discussionmentioning

confidence: 99%

“…Cesarean scar ectopic pregnancy may be of two types: Type I and Type II. 6 Type I CSEPs (endogenic type) are characterized by implantation on the CS scar and further growth within the endometrial cavity. As a result, type I CSEPs may progress and continue growing into the endometrial cavity thus, being detected late, even up to the second and third trimesters.…”

Section: Introductionmentioning

confidence: 99%

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Case Series: Cesarean Scar Ectopic Pregnancy

Pal,

Kansaria

2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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An ectopic pregnancy refers to any gestation implanted outside of the normal intrauterine gestation site. A cesarean scar ectopic pregnancy (CSEP) is the rarest form of all ectopic gestations with CSEPs with an incidence of approximately 1 in 2,000 pregnancies. It refers to the implantation of the gestational sac on a previous cesarean scar and understandably, the incidence of CSEPs has increased lately due to the increase in the number of cesarean sections (CS) performed. It is extremely important to diagnose this condition early as it poses significant morbidity including risks of uterine rupture, rarely, if left undetected. Ultrasound remains an important modality in diagnosing such pregnancies. Here, we discuss three unique cases of scar ectopic pregnancy wherein each has been managed differently.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Case Series: Cesarean Scar Ectopic Pregnancy

Pal,

Kansaria

2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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“…Diagnosing scar ectopic pregnancy can be challenging, as the symptoms and signs are often similar to those of a normal pregnancy [16]. However, women who have had previous uterine surgeries, especially cesarean sections, should be monitored closely during early pregnancy for signs of scar ectopic pregnancy [17].…”

Section: Introductionmentioning

confidence: 99%

Scar Ectopic Pregnancy as an Uncommon Site of Ectopic Pregnancy: A Case Report and Literature Review

Elawad,

Alyousef,

Alkhaldi

et al. 2023

Life

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A cesarean scar pregnancy is a rare type of ectopic pregnancy that occurs when a fertilized egg implants in the scar from a previous cesarean section. It is a serious condition that can lead to significant morbidity and mortality if not managed promptly and appropriately. In this literature review and case report, we discuss the etiology, diagnosis, and management of cesarean scar pregnancy. We conducted a comprehensive search of relevant literature using electronic databases and included studies that reported on the diagnosis and management of cesarean scar pregnancy. We also present a case report of a patient with cesarean scar pregnancy who was managed surgically. The diagnosis of cesarean scar pregnancy is primarily done via transvaginal or transabdominal ultrasound, and medical or surgical management can be used depending on the gestational age, hemodynamic status, and patient preferences. The surgical approach, which involves hysteroscopy, laparoscopy, or laparotomy, is usually preferred, since it is associated with fast recovery and lower recurrence rates. However, it is crucial to consider the patient’s plans for future fertility when selecting the management approach. In conclusion, cesarean scar pregnancy is a rare but potentially life-threatening condition that requires prompt and appropriate management. Early diagnosis and treatment can prevent significant morbidity and mortality, and surgical management is usually preferred due to its higher success rates and lower recurrence rates.

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