Abstract

RODRIGUEZ ORTIZ, Jorge Augusto et al. Ectopic pregnancy in cesarean section scar: case report and literature review. Hospital Simón Bolívar Subred Norte, Bogota, Colombia. Rev. Med [online]. 2020, vol.28, n.2, pp.103-110.  Epub June 04, 2021. ISSN 0121-5256.  https://doi.org/10.18359/rmed.3656.

Ectopic pregnancy is defined as the implantation of the gestational sac outside the uterus and it represents 3% of all pregnancies. The most frequent anatomical location is in the uterine tube, where it occurs in 95% of the cases, thus leaving 5% to other locations such as the ovary, the abdominal cavity, the cervix and a previous uterine scar. The case is relevant because of its low prevalence and because of the ultrasound findings, the possible therapeutic options for the patient, and the intraoperative findings. A literature review was carried out, using databases such as PubMed, Medline and Science Direct, in order to evaluate and analyze the state of the art of this pathological condition. Here, we present the case of a patient with a 7-week pregnancy located at the cervical isthmus level by ultrasound, initially treated conservatively with systemic Methotrexate (MTX), with no response to the treatment, and therefore she required surgical intervention and preservation of fertility. An updated review of the subject is carried out with the different therapeutic approaches.

Keywords : ectopic pregnancy; cesarean section scar; Methotrexate.

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