Gunjan Gunjan
Obstetrics and Gynaecology, Patna Medical College, Patna, IND.
Cureus. 2024 Apr 30;16(4):e59422. doi: 10.7759/cureus.59422. eCollection 2024 Apr.
Caesarean scar ectopic pregnancy is the rarest form of ectopic pregnancy. Nowadays, with the rise in caesarean deliveries, along with better awareness and improvement in ultrasound diagnosis, there is an increase in the number and detection of caesarean scar ectopic pregnancy. A 28-year-old female patient with one previous caesarean delivery and a spontaneous abortion at three months visited the obstetrics emergency department due to three months of amenorrhea, abdominal pain, and vaginal bleeding on and off for two days. The patient was noticed to have severe anemia. After stabilizing the patient with blood transfusion, a laparotomy was performed with the presentation of hemoperitoneum and caesarean scar rupture. Fetus and soft vascular mass seen protruding from the previous scar were extracted. The caesarean scar site was repaired in layers.
剖宫产瘢痕部位异位妊娠是异位妊娠最罕见的形式。如今，随着剖宫产率的上升，以及超声诊断意识的提高和技术的改进，剖宫产瘢痕部位异位妊娠的数量及检出率均有所增加。一名28岁女性患者，既往有一次剖宫产史，曾在孕3个月时自然流产，因停经3个月、腹痛伴间断性阴道流血2天就诊于产科急诊。该患者存在严重贫血。在通过输血使患者病情稳定后，实施剖腹探查术，术中发现腹腔积血及剖宫产瘢痕破裂。取出从既往瘢痕处突出的胎儿及柔软的血管性肿物。对剖宫产瘢痕部位进行分层修复。
