Abstract

SEPULVEDA-AGUDELO, Janer; CRISTANCHO-SOLANO, Mayra  and  PARRA-MEZA, Carolina. Ectopic pregnancy in the uterine scar: a case report and literature review. Rev Colomb Obstet Ginecol [online]. 2010, vol.61, n.1, pp.67-72. ISSN 0034-7434.

Introduction: ectopic pregnancy in the uterine scar occurs in 1:1,800 to 1:2,216 of pregnancies and accounts for 6.1% of ectopic pregnancies in the group of patients having had prior cesarean section. Objective: in order to review the management and diagnosis of this condition, the case of a patient having an ectopic pregnancy in the uterine scar is presented. Case presentation: a 24-year-old patient having had a previous cesarean section consulted the Santander teaching hospital suffering from lower abdominal pain. Doppler ultrasound suggested a high probability of ectopic pregnancy in the uterine scar. Methotrexate and folinic acid therapy was thus begun. Controls were made with favorable results. Discussion: ectopic pregnancy in the uterine scar is a long-term complication of cesarean section; it is a diagnosis which should be considered in any female having a history of previous cesarean consulting for hemorrhage during the first half of pregnancy before 10 weeks' gestation. Initial ultrasound diagnosis can be difficult; however, diagnosis can be made with repeated scans. Treatment may be medical or surgical and will mainly depend on the gestation time when diagnosis is made.

Keywords : ectopic pregnancy; cesarean scar pregnancy; cesarean delivery.

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