RT Journal Article
T1 Cesarean Scar Ectopic Pregnancy—Case Series: Treatment Decision Algorithm and Success with Medical Treatment
A1 Sabonet-Morente, Lorena
A1 Guzmán-León, Ana I.
A1 Espejo-Reina, María Pilar
A1 Anderica-Herrero, Jose R.
A1 González-Mesa, Ernesto Santiago
A1 Jiménez-López, Jesús Salvador
K1 Embarazo extrauterino
AB Cesarean scar ectopic pregnancies are a rare form of extrauterine pregnancies,yet their incidence has increased along with the rise in the number of cesarean deliveries. Aswith other ectopic pregnancies, cesarean scar ectopic pregnancies pose a greater risk for maternalhemorrhage and ultimately maternal mortality. Case presentation: We present a series of clinical casesof cesarean scar ectopic pregnancy diagnosed by transvaginal ultrasonography. Each patient receivedan individualized treatment: the rate of success depended on the particular maternal conditionin each case. Due to the low frequency of this entity, there are no clear protocols for its treatmentand thus there are numerous options for treatment and follow-up: expectant management, medicaltherapy, surgical intervention, uterine artery embolization or a combined approach. Each methodhas different levels of success and is dependent on the surgeon’s skill and patient presentation. Atransvaginal ultrasound is necessary to obtain the fine details of the gestation sac and its relationto the scar and must be followed by a meticulous abdominal scan with a full bladder. Conclusion:Herein, we present a rare pathological phenomenon whose frequency is on the rise, and for whichtransvaginal ultrasound and flow Doppler provide high diagnostic accuracy. Early diagnosis ofcesarean scar ectopic pregnancies offers treatment options that may help avoid uterine rupture andbleeding, thus preserving the uterus and future fertility.
PB MDPI
SN 1648-9144
YR 2021
FD 2021-04-08
LK https://hdl.handle.net/10630/44778
UL https://hdl.handle.net/10630/44778
LA eng
NO Morente LS, León AIG, Reina MPE, Herrero JRA, Mesa EG, López JSJ. Cesarean Scar Ectopic Pregnancy—Case Series: Treatment Decision Algorithm and Success with Medical Treatment. Medicina. 2021; 57(4):362. https://doi.org/10.3390/medicina57040362
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 3 mar 2026