Cesarean scar ectopic pregnancy: clinical case

Abstract

Today, cesarean scar pregnancy is a rare type of ectopic pregnancy (1:1800–1: 2200). Moreover, the mortality rate in cesarean scar pregnancy is 191.2 per 100 000 cases, that 12 times exceeds the mortality rate in tubal pregnancy. In this article, we present a clinical observation of a rare case of cesarean scar pregnancy, as diagnosed by ultrasonography, in a 23-year-old patient after the cesarean surgery. The diagnosis was based on clinical, biochemical and ultrasound studies. Ultrasound played a crucial role in the determination of the fetus localization. Pathological pregnancy was eliminated by means of excision of the “old scar” and restoration of the uterine wall integrity. Such cases are becoming more common in connection with the increase in the frequency of caesarean sections, the improvement of technology, continuing medical education and professional development in the field of ultrasound. Knowledge of differential diagnosis can save the patient's life since the outcomes of cesarean scar pregnancy include severe complications with a possible loss of patients’ fertile function and immediate risk of death.

Keywords

cesarean scar pregnancy / uterine scar / ultrasound examination / ectopic pregnancy / cesarean section

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Korotovskikh L.I., Koval M.V., Bogdanova A.M., Litvina L.D., Tsypushkina V.V.