1. Ectopic pregnancy in lower segment uterine scar.
- Author
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Roberts H, Kohlenber C, Lanzarone V, and Murray H
- Subjects
- Chorionic Gonadotropin, beta Subunit, Human blood, Female, Glucose Solution, Hypertonic therapeutic use, Humans, Middle Aged, Postoperative Complications blood, Postoperative Complications diagnostic imaging, Pregnancy, Pregnancy, Ectopic blood, Pregnancy, Ectopic diagnostic imaging, Ultrasonography, Prenatal, Cesarean Section, Postoperative Complications therapy, Pregnancy, Ectopic therapy
- Abstract
A case of ectopic pregnancy in a lower uterine segment scar following previous Caesarean section is reported. A significant scar defect may result in deep implantation within the myometrium with the risk of persistent pain and bleeding followed inevitably by uterine rupture. In this report we discuss a number of management options. Except in the special situation of superficial implantation in a shallow scar defect where there is ultrasound evidence of continuity of the gestational sac with the uterine cavity we would strongly advise termination of the pregnancy.
- Published
- 1998
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