A Case of Ectopic Pregnancy within a Previous Cesarean Scar.

Oh, Sang Youp; Park, Joon Cheol; Rhee, Jeong Ho; Kim, Jong In

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Korean Journal of Obstetrics & Gynecology 2003;46(10):2039-2042.
Published online October 1, 2003.

A Case of Ectopic Pregnancy within a Previous Cesarean Scar.

Sang Youp Oh, Joon Cheol Park, Jeong Ho Rhee, Jong In Kim

Department of Obstetrics and Gynecology, School of Medicine, Keimyung University, Taegu, Korea.

Abstract

Implantation of a gestational sac within a previous cesarean scar is the rarest form of ectopic pregnancy. A delay in either diagnosis or treatment can lead to uterine rupture, hysterectomy, and significant maternal morbidity due to severe hemorrhage. As developing of transvaginal ultrasound and MRI, early diagnosis could be made and conservative treatment could be possible. We have recently experienced a case of intramural pregnancy implanting in the scar of cesarean section, and enabled the successful treatment to preserve the patient's reproductive capability.

Key Words: Intramural pregnancy, Ectopic pregnancy, Cesarean scar

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