IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Cesarean scar ectopic pregnancy

Case contributed by Swaleh Mohamed Mohamed
Diagnosis certain

Presentation

Abdominal pain and PV bleeding in early pregnancy.

Patient Data

Age: 25 years
Gender: Female
ultrasound

A gestational sac with a fetal pole was seen at the site of previous C-section scar. A fetal pole with normal cardiac activity was seen with a CRL of 17.9 mm = 8 weeks and 2 days. The cervix was closed and normal. 

A well defined mixed echogenic collection was seen anterior to the ectopic pregnancy and showed no vascularity within it, in keeping with a hematoma.

Intrauterine pseudogestational sac was also noted.

Case Discussion

A patient with a history of 1 previous C-section presented to the radiology department for investigation of per vaginal bleeding in early pregnancy with associated lower abdominal pain. Sonography performed concluded an inevitable abortion. The patient was referred to our department for a second opinion.

Cesarean scar ectopic pregnancy is considered one of the rarest types of ectopic pregnancy.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.