Cesarean scar ectopic pregnancy: case series and review of the literature

Am J Perinatol. 2010 Feb;27(2):111-20. doi: 10.1055/s-0029-1224874. Epub 2009 Jun 5.

Abstract

Cesarean scar ectopic pregnancy is becoming increasingly common at tertiary care hospitals around the world. It is a condition in which the embryo implants within the myometrium at the site of a previous cesarean hysterotomy, and it can occur in women with only one prior cesarean delivery. We present four cases of cesarean scar ectopic pregnancy diagnosed within a 6-month period between 2007 and 2008. Their initial presentations and management are discussed, followed by a review of the published literature summarizing both diagnostic and management recommendations.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abortifacient Agents, Nonsteroidal / therapeutic use
  • Adult
  • Cesarean Section*
  • Chorionic Gonadotropin / blood
  • Cicatrix / etiology*
  • Female
  • Humans
  • Hysterectomy
  • Methotrexate / therapeutic use
  • Pregnancy
  • Pregnancy, Ectopic / diagnosis*
  • Pregnancy, Ectopic / therapy
  • Uterine Artery Embolization
  • Uterine Hemorrhage / etiology

Substances

  • Abortifacient Agents, Nonsteroidal
  • Chorionic Gonadotropin
  • Methotrexate