Cesarean scar ectopic pregnancy in a patient with multiple prior cesarean sections a case report

Jessica W Kiley*, Lee P Shulman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Background: Cesarean scar pregnancy, an abnormal gestation implanted in the hysterotomy site of a previous cesarean section, is a unique type of ectopic pregnancy. Once uncommon, these life-threatening gestations are increasing in frequency. Outcomes depend on a high index of suspicion and early diagnosis. CASE: A 39-year-old, gravida 9, para 5-0-3-5, with a history of 5 cesarean deliveries, presented with vaginal bleeding secondary to cesarean scar pregnancy at 8 weeks' gestation. The patient, who desired future fertility, was successfully treated conservatively with methotrexate and uterine artery embolization. CONCLUSION: Reports of cesarean scar pregnancies are rising in the literature, and we describe a scar pregnancy in a woman with multiple prior cesareans. Although the relationship between cesarean scar pregnancy and the number of previous cesarean deliveries is unclear, rising cesarean section rates worldwide will further increase overall incidence. The optimal treatment modality remains uncertain, but conservative management is appropriate when desired by the patient and administered under close observation. (J Reprod Med 2009;54:251-254).

Original languageEnglish (US)
Pages (from-to)251-254
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume54
Issue number4
StatePublished - Jun 17 2009

Keywords

  • Cesarean scar pregnancy
  • Cesarean section
  • Ectopic gestation
  • Methotrexate
  • Uterine artery embolization

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

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