Successful conservative management of ectopic pregnancy in caesarean section scar

BMJ Case Rep. 2012 Dec 23:2012:bcr2012006925. doi: 10.1136/bcr-2012-006925.

Abstract

Caesarean scar pregnancy is a rare type of ectopic pregnancy. The authors present a 24-year-old woman 5 weeks after her last menstrual period. She had a history of a single caesarean section which was followed by a normal vaginal delivery. Ultrasound imaging revealed a pregnancy in her lower segment caesarean section scar. The decision on the choice of treatment was influenced mainly by the β-human chorionic gonadotropin levels in the patient's blood. Although a few reports have been published on similar cases, spontaneous resolution of a caesarean scar ectopic pregnancy of less than 5 weeks gestation is yet to be reported. The patient is now asymptomatic and her urine pregnancy test has been confirmed negative.

Publication types

  • Case Reports

MeSH terms

  • Cesarean Section / adverse effects*
  • Cicatrix / complications*
  • Female
  • Humans
  • Pregnancy
  • Pregnancy, Ectopic / etiology*
  • Pregnancy, Ectopic / therapy*
  • Remission, Spontaneous
  • Young Adult