JUNIPER
PUBLISHERS-OPEN ACCESS JOURNAL OF CASE STUDIES
Ectopic Scar Pregnancy in a 31-year-old Female with Comorbid: A Case Report and Literature Review
Authored by Sanaa Aslam
An ectopic pregnancy is the implantation of a pregnancy outside the
normal uterine cavity. One in 80 pregnancies are ectopic [1]. Caesarean
scar ectopic pregnancy is considered the rarest among ectopic
pregnancies. It occurs when the blastocyst implants in a previous
Caesarean section scar instead of at the usual site in the uterus. It
has an estimated incidence of ~1:1800-2200 pregnancies [2,3]. The
overall incidence of this rare form of ectopic pregnancies is increasing
worldwide. The current incidence of this type of ectopic pregnancies in
women with a previous scar is 6% [4]. The Caesarean section scar can
lead to improper healing which makes it more susceptible to
implantation. This form of a pregnancy can be life threatening for the
mother. In 1978, the first case of a caesarean scar ectopic pregnancy
was reported [5]. This form of a pregnancy is usually diagnosed at a
gestational age of 5 to 12 weeks [2]. The time interval between the
Caesarian section and this type of a pregnancy, on an average, is 6
months to 12 years! [2]. Early diagnosis and recognition of the type of
pregnancy can lead to improve in the morbidity and mortality associated
with this condition. Prompt treatment leads to fewer complications.
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