This case study discusses a recent diagnosis of a rare form of ectopic pregnancy within a Caesarean section scar. Evidence indicates that the prevalence of this form of ectopic pregnancy is escalating due to the increasing number of Caesarean sections performed. As ultrasound plays a major role in diagnosing this rare life-threatening condition, we recommend key points for practitioners to consider for meticulous assessment and accurate diagnosis.
JurkovicDHillabyKWoelferB. First trimester diagnosis and management of pregnancies implanted into the lower uterine segment caesarean section scar. Ultrasound Obstet Gynecol2003; 21: 220–7.
Ben NagiJOfili-YeboviDMarshM. First trimester caesarean scar pregnancy evolving into placenta previa/accrete at term. J Ultrasound Med2005; 24: 1569–73.
8.
SumTWongSTaiC. An ectopic pregnancy in a previous caesarean section scar: treatment with systemic methotrexate and uterine artery embolisation. J Obstet Gynaecol2000; 20: 328–328.
9.
HeMChenM-HXieHZ. Transvaginal removal of ectopic pregnancy tissue and repair of uterine defect for caesarean scar pregnancy. BJOG2011; 118: 1136–9.
10.
SeowKHwangJTsaiY. Ultrasound diagnosis of a pregnancy in a Cesarean section scar. Ultrasound Obstet Gynecol2001; 18: 547–9.
11.
HasegawaJIchizukaKMatsuokaR. Limitations of conservative treatment for repeat Caesarean scar pregnancy. Ultrasound Obstet Gynecol2005; 25: 310–1.
12.
WangYLSuTHChenHS. Operative laparoscopy for unruptured ectopic pregnancy in a caesarean scar. BJOG2006; 113: 1035–8.
