Ectopic pregnancy in scar from previous cesarean section. Clinical case report

Authors

DOI:

https://doi.org/10.47464/MetroCiencia/vol31/3/2023/57-67

Keywords:

Ectopic pregnancy, cesarean section, conservative treatment, methotrexate, hysteroscopy, laparoscopy

Abstract

Ectopic gestation in a caesarean section scar is considered an unusual presentation of extrauterine pregnancy, with few cases reported in the literature. The frequency has been increasing, due to the significant increase in cesarean section rates worldwide. This type of ectopic pregnancy can cause various complications with greater severity as pregnancy progresses, so its early detection is paramount. We present the case of a young adult patient who went to an outpatient clinic for pelvic pain, positive HCG and scant vaginal bleeding. Transvaginal ultrasound demonstrated an ectopic pregnancy in uterine scar, after consultation with the patient, a conservative approach was chosen. The fundamental pillar in the success of this treatment was its diagnosis in an early gestation, and its adequate follow-up, thus avoiding potential complications.

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Author Biographies

  • María Esther Abdo-Rojas, Universidad Internacional del Ecuador

    Médico Posgradista de Ginecología y Obstetricia de la Universidad Internacional del Ecuador; Quito, Ecuador

  • Luis Fernando Suárez-López, Universidad Internacional del Ecuador

    Ginecólogo-Obstetra, Coordinador del Posgrado de Ginecología y Obstetricia de la Universidad Internacional del Ecuador; Quito, Ecuador

  • Daniel Fernando Narváez-Cervantes, Universidad Internacional del Ecuador

    Médico Posgradista de Ginecología y Obstetricia de la Universidad Internacional del Ecuador; Quito, Ecuador

  • María Gabriela Trujillo-Pazmiño, Investigador Independiente

    Médico Especialista en Radiodiagnóstico e Imagen; Investigador Independiente; Quito, Ecuador

References

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Published

2023-09-29

Issue

Section

Casos Clínicos

How to Cite

Ectopic pregnancy in scar from previous cesarean section. Clinical case report. (2023). Metro Ciencia, 31(3), 57-67. https://doi.org/10.47464/MetroCiencia/vol31/3/2023/57-67

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