Caesarean scar ectopic pregnancy

Case contributed by Dr Swaleh Mohamed Mohamed

Presentation

Abdominal pain.

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 17.9mm = 8 weeks and 2 days. The cervix was closed and normal. 

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

Intrauterine pseudo gestational sac was also noted.

Case Discussion

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

Caesarean scar ectopic pregnancy is considered one of the most rare type of ectopic pregnancy.

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Case information

rID: 39708
Case created: 16th Sep 2015
Last edited: 19th Jun 2016
System: Obstetrics
Inclusion in quiz mode: Included

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