Cesarean scar ectopic pregnancy: case series and review of the literature.
Cesarean scar ectopic pregnancy is becoming increasingly common at tertiary care hospitals around the world. It is a condition in which the embryo implants within the myometrium at the site of a previous cesarean hysterotomy, and it can occur in women with only one prior cesarean delivery. We present four cases of cesarean scar ectopic pregnancy diagnosed within a 6-month period between 2007 and 2008. Their initial presentations and management are discussed, followed by a review of the published literature summarizing both diagnostic and management recommendations.
Sadeghi
Homayoun
H
Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, 333 Cedar St., New Haven, CT 06519, USA. homayoun99@post.harvard.edu
Rutherford
Thomas
T
Rackow
Beth W
BW
Campbell
Katherine H
KH
Duzyj
Christina M
CM
Guess
Marsha K
MK
Kodaman
Pinar H
PH
Norwitz
Errol R
ER
D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use; D000328:Adult; D002585:Cesarean Section; D006063:Chorionic Gonadotropin / Q000097:blood; D002921:Cicatrix / Q000209:etiology*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008727:Methotrexate / Q000627:therapeutic use; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000628:therapy; D055357:Uterine Artery Embolization; D014592:Uterine Hemorrhage / Q000209:etiology
D000020:Abortifacient Agents, Nonsteroidal; D006063:Chorionic Gonadotropin; D008727:Methotrexate