Use of Magnetic Resonance Imaging (MRI) in the Management of Diagnostic Uncertainty in Low-Resource Settings: A Case Report of Cesarean Ectopic Pregnancy in a Tertiary Hospital in Ghana

Erem, Anna Sarah; Konney, Thomas Okpoti; Appiah‐Kubi, Adu; Ankomah, Kwasi; Amankwa, Adu Tutu; Annan, John Jude Kweku; Tawiah, Augustine; Amoako-Adjei, Benjamin Kwame; Lartey, Kwabena Fosu; Lawrence, Emma

doi:10.12659/ajcr.927496

Cited by 1 publication

(1 citation statement)

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“…The number of cesarean sections (CS) performed has shown a steady increase over the past few decades Presently, with the advanced sonography techniques, the detection rates of cesarean scar ectopic pregnancy (CSEPs) have increased and hence, helped us in the prompt management and prevention of potentially life-threatening complications like uterine rupture and fatal hemorrhage. [1][2][3][4][5] While the mechanism behind the development of CSEPs remains mostly unclear, one school of thought regarding its origin has come to the forefront. The most probable mechanism that could explain the scar site implantation of pregnancy is the formation of a microtubular tract between the endometrial canal and the previous cesarean section scar.…”

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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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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