Abstract

GARVI MORCILLO, Javier et al. Ectopic pregnancy in a previous cesarean scar. Rev. peru. ginecol. obstet. [online]. 2022, vol.68, n.4, 00014.  Epub Nov 30, 2022. ISSN 2304-5132.  http://dx.doi.org/10.31403/rpgo.v68i2460.

Ectopic pregnancies in the scar of previous cesarean section are an infrequent pathology. They represent the rarest form of ectopic gestation and occur in 1 in 2.000 pregnancies. In recent decades there has been an increase in its incidence related to the increase in the number of cesarean sections. Its inconsistent clinical presentation may delay its diagnosis, so it requires a high degree of suspicion for its identification. The diagnosis is mainly made with transvaginal ultrasound, by finding of the gestational sac in the hysterotomy scar. The scarcity of cases reported in the literature makes it impossible to standardize correct treatment. The insufficient information available together with the potential serious complications make this pathology a challenge for every specialist. We present a case of ectopic pregnancy in the scar of a previous cesarean section which was diagnosed ultrasonographically and resolved with medical treatment with methotrexate. The importance of followup, both clinical and with ultrasound and βhCG levels until complete resolution, is evident.

Keywords : Pregnancy; ectopic; Cesarean section; Scar; Methotrexate.

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