[Obstetric management after ectopic pregnancy in the caesarean section scar: a case report and review of literature].
We report the case of a patient who came out pregnancy twelve months after medical and surgical treatment of an ectopic pregnancy in a previous caesarean section scar. The preconceptional management consisted in a saline infusion sonohysterography and a pelvic magnetic resonance imaging. Judging the risks of abnormal placental insertion to be higher in this case compared to a simple caesarean section, a careful ultrasonography with color doppler imaging was carried out. The myometrium fragility caused by the ectopic pregnancy in the caesarean section brought us to recommend a prophylactic caesarean section around 37. The high risks of hemorrhage required a medical center with embolization possibilities. A review of literature in order to define the medical care adapted in this case was come out.
Flye Sainte Marie
H
H
Service de gynécologie-obstétrique, CHU de Grenoble, BP 217, 38043 Grenoble cedex 09, France.
Baudo
M
M
Benezech
C
C
Deutsch
V
V
Tournadre
D
D
Hoffmann
P
P
Schaal
J-P
JP
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000150:complications*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000601:surgery*; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color