IMR Press / CEOG / Volume 46 / Issue 2 / DOI: 10.12891/ceog4466.2019

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Cesarean scar ectopic pregnancy, a life threatening condition: a case report
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1 Department of Gynecology and Obstetrics, Hospital de Palamós, Girona, Spain;
2 Hospital Clinic, Barcelona, Spain
3 Department of Pathology, Hospital de Palamós, Girona, Spain;
*Correspondence: mirentxu_mz@hotmail.com (M. MELÉNDEZ ZALDUEGUI)
Clin. Exp. Obstet. Gynecol. 2019, 46(2), 313–316; https://doi.org/10.12891/ceog4466.2019
Published: 10 April 2019
Abstract

A cesarean scar ectopic pregnancy (CSEP) is a rare and life-threatening condition with a prevalence of one over 3, 000 pregnancies. If not promptly diagnosed, patients may undergo fatal results. There is no consensus for the management of this type of ectopic pregnancy. The authors present a series of three cases involving different clinical scenarios for the management of cesarean ectopic pregnancy. The diagnosis was made using laboratory results, ultrasound images, and surgery. Treatment was performed using different techniques according to this hospital’s capabilities; from surgery to methotrexate use, all with satisfactory results. The authors discuss the clinical significance and differential diagnosis of CSEP in the setting of a second level reference hospital.

Keywords
Cesarean scar
Ectopic pregnancy
Methotrexate
Hysterectomy
Cesarean scar ectopic pregnancy
Figures
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