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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (2): 313-316    DOI: 10.12891/ceog4466.2019
Case Report Previous articles | Next articles
Cesarean scar ectopic pregnancy, a life threatening condition: a case report
M. Meléndez Zalduegui1, *(), S. Iglesias Ferreiro1, A. Rodríguez Vélez1, ML. Monje Beltrán1, EM. Vicedo Madrazo1, RJ. Martínez Portillo2, M. Llobet Roma3, M. Marqueta Sánchez1
1Department of Gynecology and Obstetrics, Hospital de Palamós, Girona, Spain;
2Hospital Clinic, Barcelona, Spain
3Department of Pathology, Hospital de Palamós, Girona, Spain;
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Abstract  

A cesarean scar ectopic pregnancy (CSEP) is a rare and life-threatening condition with a prevalence of one over 3, 000 pregnancies. If not promptly diagnosed, patients may undergo fatal results. There is no consensus for the management of this type of ectopic pregnancy. The authors present a series of three cases involving different clinical scenarios for the management of cesarean ectopic pregnancy. The diagnosis was made using laboratory results, ultrasound images, and surgery. Treatment was performed using different techniques according to this hospital’s capabilities; from surgery to methotrexate use, all with satisfactory results. The authors discuss the clinical significance and differential diagnosis of CSEP in the setting of a second level reference hospital.

Key words:  Cesarean scar      Ectopic pregnancy      Methotrexate      Hysterectomy      Cesarean scar ectopic pregnancy     
Published:  10 April 2019     
*Corresponding Author(s):  M. MELéNDEZ ZALDUEGUI     E-mail:  mirentxu_mz@hotmail.com

Cite this article: 

M. Meléndez Zalduegui, S. Iglesias Ferreiro, A. Rodríguez Vélez, ML. Monje Beltrán, EM. Vicedo Madrazo, RJ. Martínez Portillo, M. Llobet Roma, M. Marqueta Sánchez. Cesarean scar ectopic pregnancy, a life threatening condition: a case report. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 313-316.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4466.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I2/313

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