Cesarean scar pregnancy: Case report and review of the literature

Nosečnost v brazgotini po carskem rezu: prikaz primera in pregled literature

Authors

  • Andraž Dovnik Maribor University Clinical Center, University Department of Gynecology and Perinatology , Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo Author
  • Polona Kores Testen Maribor University Clinical Center, University Department of Gynecology and Perinatology, Department of Reproductive Medicine and Gynecologic Endocrinology , Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo, Oddelek za reproduktivno medicino in ginekološko endokrinologijo Author
  • Lea Mlakar Maribor University Clinical Center, University Department of Gynecology and Perinatology, Department of Reproductive Medicine and Gynecologic Endocrinology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics , Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo, Oddelek za reproduktivno medicino in ginekološko endokrinologijo ; Univerza v Mariboru, Medicinska fakulteta, Katedra za ginekologijo in porodništvo Author
  • Milan Reljič Maribor University Clinical Center, University Department of Gynecology and Perinatology, Department of Reproductive Medicine and Gynecologic Endocrinology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics , Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo, Oddelek za reproduktivno medicino in ginekološko endokrinologijo ; Univerza v Mariboru, Medicinska fakulteta, Katedra za ginekologijo in porodništvo Author
  • Darja Arko Maribor University Clinical Center, University Department of Gynecology and Perinatology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics , Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo ; Univerza v Mariboru, Medicinska fakulteta, Katedra za ginekologijo in porodništvo Author
  • Iztok Takač Maribor University Clinical Center, University Department of Gynecology and Perinatology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics , Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo ; Univerza v Mariboru, Medicinska fakulteta, Katedra za ginekologijo in porodništvo Author

DOI:

https://doi.org/10.18690/actabiomed.108

Keywords:

cesarean section complications, cesarean scar pregnancy, transvaginal ultrasound, hysterotomy

Abstract

Purpose: A cesarean scar pregnancy is a rare form of ectopic pregnancy in which the gestational sac is implanted in the uterine scar after a previous cesarean section. Early diagnosis is crucial, and transvaginal ultrasound is the most appropriate diagnostic tool. Different management options have been described in the literature; however, there is no consensus regarding optimal treatment due to the rarity of the condition.

Case report: We present a case involving a cesarean scar pregnancy which was managed with hysterotomy due to the advanced stage of pregnancy (fetal crown–rump length = 3.5 cm).

Conclusion: Early diagnosis of a cesarean scar pregnancy is important to avoid complications and to preserve fertility. Various treatment modalities have been described in the literature, including medical and surgical options.

Author Biographies

  • Andraž Dovnik, Maribor University Clinical Center, University Department of Gynecology and Perinatology, Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo

    M.D., Maribor, Slovenia. E–mail: andrazdovnik@gmail.com

  • Polona Kores Testen, Maribor University Clinical Center, University Department of Gynecology and Perinatology, Department of Reproductive Medicine and Gynecologic Endocrinology, Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo, Oddelek za reproduktivno medicino in ginekološko endokrinologijo

    Maribor, Slovenia.

  • Lea Mlakar, Maribor University Clinical Center, University Department of Gynecology and Perinatology, Department of Reproductive Medicine and Gynecologic Endocrinology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics, Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo, Oddelek za reproduktivno medicino in ginekološko endokrinologijo ; Univerza v Mariboru, Medicinska fakulteta, Katedra za ginekologijo in porodništvo

    Maribor, Slovenia.

  • Milan Reljič, Maribor University Clinical Center, University Department of Gynecology and Perinatology, Department of Reproductive Medicine and Gynecologic Endocrinology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics, Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo, Oddelek za reproduktivno medicino in ginekološko endokrinologijo ; Univerza v Mariboru, Medicinska fakulteta, Katedra za ginekologijo in porodništvo

    Maribor, Slovenia.

  • Darja Arko, Maribor University Clinical Center, University Department of Gynecology and Perinatology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics, Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo ; Univerza v Mariboru, Medicinska fakulteta, Katedra za ginekologijo in porodništvo

    Maribor, Slovenia.

  • Iztok Takač, Maribor University Clinical Center, University Department of Gynecology and Perinatology ; University of Maribor, Faculty of Medicine, Department of gynecology and obstetrics, Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo ; Univerza v Mariboru, Medicinska fakulteta, Katedra za ginekologijo in porodništvo

    Maribor, Slovenia.

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Published

28.11.2021

Issue

Vol. 7 No. 2 (2014)

Section

Case report

License

Copyright (c) 2014 Acta Medico-Biotechnica

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

Dovnik, A., Kores Testen, P., Mlakar, L., Reljič, M., Arko, D., & Takač, I. (2021). Cesarean scar pregnancy: Case report and review of the literature: Nosečnost v brazgotini po carskem rezu: prikaz primera in pregled literature. Acta Medico-Biotechnica, 7(2), 53-57. https://doi.org/10.18690/actabiomed.108

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