Arruda Maurício de Souza, de Camargo Júnior Hélio Sebastião Amâncio
Hospital Estadual de Sumaré, Campinas, SP, Brasil.
Rev Bras Ginecol Obstet. 2008 Oct;30(10):518-23. doi: 10.1590/s0100-72032008001000007.
Ectopic pregnancy in a cesarean scar is the rarest form of ectopic pregnancy and probably the most dangerous one because of the risk of uterine rupture and massive hemorrhage. This condition must be distinguished from cervical pregnancy and spontaneous abortion in progress, so that the appropriate treatment can be immediately offered. Since the advent of endovaginal ultrasonography, ectopic pregnancy in a cesarean scar can be diagnosed early in pregnancy if the sonographer is familiarized with the diagnostic criteria of this situation, especially in women with previous cesarean scar. Here we describe a case of ectopic pregnancy in a cesarean scar in which the diagnosis was considerably late, with presentation of spontaneous regression.
剖宫产瘢痕部位妊娠是异位妊娠中最罕见的类型，可能也是最危险的一种，因为存在子宫破裂和大出血的风险。这种情况必须与宫颈妊娠及进展中的自然流产相鉴别，以便能立即给予恰当治疗。自从经阴道超声检查问世以来，如果超声检查人员熟悉这种情况的诊断标准，尤其是对于有剖宫产瘢痕史的女性，剖宫产瘢痕部位妊娠在妊娠早期即可诊断。在此，我们描述一例剖宫产瘢痕部位妊娠病例，其诊断相当晚，且出现了自然消退的情况。
