Sunday, November 18, 2018

Ectopic Scar Pregnancy in a 31-year-old Female with Comorbid: A Case Report and Literature Review-Juniper Publishers

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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