Belmajdoub Meryem, Jayi Sofia, Chaara Hikmat, Melhouf Abdelilah
Centre Hospitalier Hassan II, Service de Gynécologie et Obstétrique II, Fès, Maroc.
Pan Afr Med J. 2018 Dec 10;31:227. doi: 10.11604/pamj.2018.31.227.12905. eCollection 2018.
Cesarean-scar pregnancy is a rare form of the ectopic pregnancy which can be life-threatening or threaten patient's functional prognosis due to hemorrhage or early uterine rupture. We report the case of a 23-year old patient with ectopic pregnancy, gravida 3, para 2, with bi-scarred uterus who was diagnosed with cesarean-scar pregnancy due to metrorrhagias at 7 weeks of amenorrhea. Transvaginal ultrasound allowed early diagnosis and treatment was based on conservative therapy. This study and literature review aim to highlight the diagnostic and therapeutic features of this rare disorder whose knowledge can improve prognosis.
剖宫产瘢痕妊娠是一种罕见的异位妊娠形式，由于出血或早期子宫破裂，可能危及生命或影响患者的功能预后。我们报告一例23岁异位妊娠患者，孕3产2，子宫有两处瘢痕，因停经7周时出现子宫出血被诊断为剖宫产瘢痕妊娠。经阴道超声检查实现了早期诊断，治疗基于保守疗法。本研究及文献综述旨在强调这种罕见疾病的诊断和治疗特点，了解这些特点有助于改善预后。
