Cesarean scar ectopic pregnancy

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Early pregnancy assessment.

Patient Data

Age: 35 years
Gender: Female
ultrasound

An intrauterine gestational sac with good decidual reaction is seen at the anterior part of lower uterine segment at the level of cesarean scar, with thin myometrium between gestational sac and urinary bladder. It shows a Yolk sac with no pulsating fetal pole visualized.

Green arrow points at the gestational sac.

Violet arrow points at the cesarean scar.

Case Discussion

Cesarean scar is a rare site of implantation, considered an ectopic pregnancy. Termination of pregnancy should be done as pregnancy progress can lead to hemorrhage or uterine rupture.

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