Ectopic Pregnancy in Lower Segment Uterine Scar |
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Authors: | H Roberts FRACOG COGUS C Kohlenber FRACOG DDU V Lanzarone MRACOG H Murray FRACOG |
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Institution: | Department of Perinatal Ultrasound, The Nepean Hospital, Penrith, New South Wales |
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Abstract: | Summary: A case of ectopic pregnancy in a lower uterine segment scar following previous Caesarean section is reported. A significant scar defect may result in deep implantation within the myometrium with the risk of persistent pain and bleeding followed inevitably by uterine rupture. In this report we discuss a number of management options. Except in the special situation of superficial implantation in a shallow scar defect where there is ultrasound evidence of continuity of the gestational sac with the uterine cavity we would strongly advise termination of the pregnancy. |
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