Skip to main content

Advertisement

Log in

Scar Ectopic Pregnancy

  • Invited Mini Review
  • Published:
The Journal of Obstetrics and Gynecology of India Aims and scope Submit manuscript

Abstract

Scar ectopic pregnancy is the rarest form of ectopic pregnancy and has been increasingly diagnosed all over the world. This is a life-threatening form of abnormal implantation of embryo within the myometrium and fibrous tissues in a previous scar on the uterus, especially following caesarean section. With the increasing rate of caesarean section, there is a substantial increase in this condition with better understanding of this disease. The early and accurate diagnosis with timely management can prevent pregnancy complications such as haemorrhage, uterine rupture and can preserve fertility.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Larsen JV, Solomon MH. Pregnancy in a uterine scar sacculus: an unusual cause of postabortal haemorrhage. S Afr Med J. 1978;53:142–3.

    CAS  PubMed  Google Scholar 

  2. Jurkovic D, Hillaby K, Woelfer B, et al. First-trimester diagnosis and management of pregnancies implanted into the lower uterine Caesarean section scar. Ultrasound Obstet Gynecol. 2003;21:220–7.

    Article  CAS  PubMed  Google Scholar 

  3. Seow KM, Huang LW, Lin YH, et al. Caesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol. 2004;23:247–53.

    Article  PubMed  Google Scholar 

  4. Shen L, Tan A, Zhu H, et al. Bilateral uterine artery chemoembolization with methotrexate for cesarean scar pregnancy. AJOG. 2012;207:386 e1-6.

    Article  Google Scholar 

  5. Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis and management. Obstet Gynecol. 2006;107:1373–7.

    Article  PubMed  Google Scholar 

  6. Rosen T. Placenta accreta and cesarean scar pregnancy: overlooked costs of the rising cesarean section rate. Clin Perinatol. 2008;35(3):519–29.

    Article  PubMed  Google Scholar 

  7. Yu XL, Zhang N, Zuo WL, et al. Cesarean scar pregnancy: an analysis of 100 cases. Zhonghua Yi Xue Za Zhi. 2011;91(45):3186–9.

    PubMed  Google Scholar 

  8. Timor-Tritsch IE, Monteagudo A, Santos R, et al. The diagnosis, treatment and follow-up of cesarean scar pregnancy. Am J Obstet Gynecol. 2012;207:44–6.

    Article  PubMed  Google Scholar 

  9. Pascual MA, Hereter L, Graupera B. Three-dimensional power Doppler ultrasound diagnosis and conservative treatment of ectopic pregnancy in a cesarean section scar. Fertil Steril. 2007;88:706.e5-7.

    Article  PubMed  Google Scholar 

  10. Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. Int J Obstet Gynecol. 2007;114:253–63.

    CAS  Google Scholar 

  11. Wang CN, Chen CK, Wang HS, et al. Successful management of heterotopic cesarean scar pregnancy combined with intrauterine pregnancy after in vitro fertilization-embryo transfer. Fertil Steril. 2007;88(3):706.e13-6 (Epub 2007 Aug 6).

    Article  PubMed  Google Scholar 

  12. Arslan M, Pata O, Dilek TU, et al. Treatment of viable cesarean scar ectopic pregnancy with suction curettage. Int J Gynecol Obstet. 2005;89:163–6.

    Article  CAS  Google Scholar 

  13. Chao A, Wang TH, et al. Hysteroscopic management of cesarean scar pregnancy after unsuccessful methotrexate treatment. J Minim Invasive Gynecol. 2005;12(4):374–6.

    Article  PubMed  Google Scholar 

  14. Lee CL, Wang CJ, Chao A, et al. Laparoscopic management of an ectopic pregnancy in a previous caesarean section scar. Hum Reprod. 1999;14:1234–6.

    Article  CAS  PubMed  Google Scholar 

  15. Wang HY, Zhang J, Li YN, et al. Laparoscopic management or laparoscopy combined with transvaginal management of type II cesarean scar pregnancy. JSLS. 2013;17(2):263–72.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Madhuri Arvind Patel.

Ethics declarations

Conflict of interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Patel, M.A. Scar Ectopic Pregnancy. J Obstet Gynecol India 65, 372–375 (2015). https://doi.org/10.1007/s13224-015-0817-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13224-015-0817-3

Keywords

Navigation