Caesarean scar ectopic pregnancy. A case report.

Introduction. The cesarean scar ectopic pregnancy tends to become a pathology more and more frequently encountered in the practice of obstetricians. The early diagnosis by means of echography allows the elaboration of various therapeutic strategies, substantially improving the achieved results. The careful monitoring of these patients through a detailed plan represents one of the main objectives, having an impact on fertility by the conservation of the uterus, and of females' health. An early echography in the case of a woman with scar ectopic pregnancy in her history would clarify the localization of implantation of the new pregnancy and would allow the evaluation of the uterine scar. The aim of this study is to present a case of an ectopic pregnancy implanted in a previous uterine scar diagnosed in the first trimester of pregnancy and the efficiency of the therapeutic strategy required. Case. The 43-year-old patient, gravida 2, appeared within our service, suspecting the diagnosis of cervical ectopic pregnancy. Reduced genital bleeding and low abdominal pain were objectified upon admission. Endovaginal ultrasonography showed a 6-week ectopic pregnancy with viable fetus and intact gestational sac, implanted towards the former post-cesarean isthmic scar. The determined therapeutic protocol approached a medical and surgical management. Conclusions. The cesarean scar pregnancy does not have specific symptoms and may be easily misdiagnosed. [ABSTRACT FROM AUTHOR]