Management of a Viable Ectopic Pregnancy on Caesarean Scar After IVF-ET Procedure: A Case Presentation

Authors

  • Kazım Gezginç Selcuk University Meram Medical School Department of Obstetrics and Gynecology, Konya
  • Rengin Karataylı Selcuk University Meram Medical School Department of Obstetrics and Gynecology, Konya
  • Dilay Gök Selcuk University Meram Medical School Department of Obstetrics and Gynecology, Konya
  • Ali Acar Selcuk University Meram Medical School Department of Obstetrics and Gynecology, Konya

Keywords:

Ectopic pregnancy, Caesarean scar, Laparotomy

Abstract

To present the management of a viable ectopic pregnancy on caesarean scar following IVF-ET procedure. A 33-year old woman with gravida 2, parity 1 admitted to our outpatient clinic in her 8th weeks of gestation. She had a previous caesarean section 4 years ago. Transabdominal ultrasound examination revealed empty uterine cavity and cervical canal, but an intramural viable gestation near the cesarean scar. Laparotomy was performed. The gestational sac was bulging and thinning out the uterine wall anteriorly at the scar site. We evacuated the products of conception and repaired scar. After 2 hours from the operation an abundant vaginal bleeding occurred and an emergent relaparatomy performed. No active
bleeding focus could be detected but bilateral uterine arteries were ligated. As a result, caesarean scar pregnancy is a highly complicated type of ectopic pregnancy and should be kept in mind during routine obstetric practice.

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Published

2012-04-06

How to Cite

1.
Gezginç K, Karataylı R, Gök D, Acar A. Management of a Viable Ectopic Pregnancy on Caesarean Scar After IVF-ET Procedure: A Case Presentation. Gynecol Obstet Reprod Med [Internet]. 2012Apr.6 [cited 2022May26];18(1):33-5. Available from: https://gorm.com.tr/index.php/GORM/article/view/233

Issue

Section

Case Reports

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