Cesarean Scar Ectopic Pregnancy

Abstract

This case illustrates the importance of considering a diagnosis of ectopic pregnancy at previous cesarean scar in a patient with pregnancy of unknown location. Pregnancy of unknown location is a term used by sonographers when a live intrauterine pregnancy consisting of gestational sac, fetal pole and or yolk sac cannot be visualized, in presence of sufficiently elevated quantitative serum chorionic gonadotropin (β-HCG). Modern obstetrician needs to be aware of the diagnosis of cesarean scar ectopic pregnancy and consider evaluation of scar with ultrasound or magnetic resonance imaging (MRI). We present here such a patient with pregnancy of unknown location, in whom cesarean scar pregnancy was accurately diagnosed and appropriately treated.




doi: http://dx.doi.org/10.4021/jcgo98w