Ectopic pregnancies in a Caesarean scar: review of the medical approach to an iatrogenic complication.

@article{Maymon2004EctopicPI,
  title={Ectopic pregnancies in a Caesarean scar: review of the medical approach to an iatrogenic complication.},
  author={R. Maymon and R. Halperin and S. Mendlovic and D. Schneider and A. Herman},
  journal={Human reproduction update},
  year={2004},
  volume={10 6},
  pages={
          515-23
        }
}
Implantation of a pregnancy within a Caesarean fibrous tissue scar is considered to be the rarest form of ectopic pregnancy and a life-threatening condition. We conducted a computer search of the English literature of all studies since 2002 to gather updated data on the outcome of such pregnancies. Sixty-six new cases were reported since 2002, possibly reflecting the increasing number of Caesareans currently being performed as well as the more widespread use of the transvaginal scan allowing… Expand
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Care should be taken in the diagnosis of caesarean scar twin pregnancy by a transvaginal ultrasonography in order to not mistake a caes Harean scar pregnancy for an intrauterine pregnancy. Expand
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The diagnosis and treatment of patients with a caesarean scar pregnancy, who have been managed at a unit, are reviewed as well as to evaluate the effectiveness of the non-surgical treatment options. Expand
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Management of a Viable Cesarean Scar Pregnancy: A Case Report.
TLDR
A 38-year-old woman with a past history of previous three cesarean sections presented with five weeks pregnancy and complaints of bleeding per vaginum associated with mild lower abdominal discomfort and the diagnosis was made on a transvaginal ultrasound examination and later confirmed with a magnetic resonance imaging (MRI). Expand
Successful management of a triplet heterotropic caesarean scar pregnancy in spontaneous conception
TLDR
Recognition of scar ectopic on ultrasound is essential, since any delay in diagnosis may result in uterine rupture, haemorrhage and subsequent hysterectomy with loss of future fertility. Expand
Ectopic pregnancy through a caesarean scar in a ewe
TLDR
The first report of an ectopic pregnancy through a caesarean scar in sheep or any other farm animal species is reported, resulting in the birth of a healthy female lamb 35 days after the removal of the ectopic foetus. Expand
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References

SHOWING 1-10 OF 40 REFERENCES
Ectopic pregnancies in Caesarean section scars: the 8 year experience of one medical centre.
TLDR
The women at risk for pregnancy in a Caesarean section scar appear to be those with a history of placental pathology, ectopic pregnancy, multiple CaesAREan sections and Caesar breech delivery. Expand
Ectopic Pregnancy Within a Cesarean Scar: A Review
  • D. Fylstra
  • Medicine
  • Obstetrical & gynecological survey
  • 2002
TLDR
Although expectant and medical managements have been reported, termination of a cesarean scar pregnancy by laparotomy and hysterotomy, with repair of the accompanying uterine scar dehiscence, may be the best treatment option. Expand
An ectopic pregnancy developing in a previous caesarian section scar.
TLDR
To prevent uterine rupture in cases of an EP developing in a caesarean section scar, a medical approach can be proposed. Expand
Conservative treatment of ectopic pregnancy in a caesarean section scar
TLDR
A 40 year old woman was admitted with severe vaginal bleeding at seven weeks amenorrhea and given four doses of methotraxate 1 mg/kg on alternate days, and only spotting of blood occurred, and was discharged five days later. Expand
Follow up and outcome of isthmic pregnancy located in a previous caesarean section scar
TLDR
It was judged that the sac, located in the isthmical region, would eventually coalesce with the uterine cavity and continue as a normal pregnancy, and management was unchanged. Expand
An ectopic pregnancy embedded in the myometrium of a previous cesarean section scar
TLDR
The first case of an ectopic pregnancy embedded in the myometrium of a previous cesarean section scar is presented, in which the patient preserved her fertility through a successful conservative transabdominal removal of the ectopicregnancy. Expand
Conservative management of two ectopic pregnancies implanted in previous uterine scars
TLDR
In the first case the diagnosis of an 8‐week non‐viable gestation in a uterine scar was made sonographically in a 40‐year‐old woman and the patient was treated with intramuscular methotrexate. Expand
An ectopic pregnancy embedded in the myometrium of a previous cesarean section scar
TLDR
The diagnosis in this case was correctly made by transvaginal sonography with 7 weeks gestational age before rupture of the uterus, and the pregnancy was removed by laparotomy and a small hysterotomy combined with curettage so the uterus and fertility of the patient could be preserved. Expand
Combination of transarterial embolization of uterine arteries and conservative surgical treatment for pregnancy in a cesarean section scar. A report of 3 cases.
TLDR
Conservative surgical treatment following transarterial embolization of bilateral uterine arteries is an alternative method of managing the patients with early pregnancy in the scar from a cesarean section that preserves the uterus and greatly reduces morbidity. Expand
Effect of early pregnancy on a previous lower segment cesarean section scar
  • W. Weimin, L. Wenqing
  • Medicine
  • International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2002
TLDR
Pregnancy on a previous lower segment cesarean section scar is rare but very dangerous and early diagnosis and effective conservative drug treatment may be instrumental in decreasing the occurrence of uterine rupture. Expand
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