Ectopic pregnancy in the previous cesarean scar (A Case Report)

Cesarean scar ectopic pregnancy (CSP) is a rare type of ectopic pregnancy، but is very important because of potentially dangerous complications. The patients complicated by this usually refer with abdominal pain or vaginal bleeding. The diagnosis is usually difficult and done by an experienced radiologist. This article presents a case of ectopic pregnancy in previous caesarean scar. Case report: in this study، the patient was a 36 years old woman with a diagnosis of ectopic pregnancy in previous cesarean scar who underwent laparotomy because of abdominal pain and bleeding، with regard to the patient''s tendency for fertility preserving، the pregnancy sac was resected and the myometrium was sutured in multi-layers، and fortunately، the uterus was preserved.

Because of the high prevalence of patients with previous cesarean section، it is very important to early diagnose the cesarean scar pregnancy، and the best diagnosis method is transvaginal sonography. According to the gestational age and the patient''s condition، treatment can be medical or surgical.