Al-Osail Emad M, Almulhim Sager
Department of General Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
General Radiology, Imam Abdulrahman Bin Faisal Hospital-National Guard, Dammam, Saudi Arabia.
Int Med Case Rep J. 2025 May 1;18:521-527. doi: 10.2147/IMCRJ.S515912. eCollection 2025.
Ectopic pregnancy represents a significant challenge in obstetrics due to its potential for severe complications, including maternal morbidity and mortality. Caesarean scar ectopic pregnancy is one of the very rare sites of ectopic pregnancy. Any type of surgical scar on the uterine wall (hysterotomy) including caesarean section, myomectomy or history of abnormally adherent placenta or manual removal of placenta increases the risk of surgical scar ectopic pregnancy. Here, we have described a case of caesarean scar ectopic pregnancy in a 43 years female presenting to the emergency department after being referred from a primary centre with complaints of pelvic pain and vaginal bleeding. Ultrasound confirmed the diagnosis of caesarean section scar ectopic pregnancy. The patient was successfully managed with multi dose regime of methotrexate. Early diagnosis and prompt management of caesarean scar ectopic pregnancy is essential to avoid any life-threatening complications or loss of fertility.
异位妊娠因其可能引发严重并发症，包括孕产妇发病和死亡，给产科带来了重大挑战。剖宫产瘢痕部位异位妊娠是异位妊娠极为罕见的部位之一。子宫壁上的任何类型手术瘢痕（子宫切开术），包括剖宫产、子宫肌瘤切除术或有胎盘异常粘连或人工剥离胎盘史，都会增加剖宫产瘢痕部位异位妊娠的风险。在此，我们描述了一例43岁女性的剖宫产瘢痕部位异位妊娠病例，该患者因骨盆疼痛和阴道出血从基层中心转诊至急诊科。超声检查确诊为剖宫产瘢痕部位异位妊娠。该患者通过多剂量甲氨蝶呤方案成功得到治疗。早期诊断并及时处理剖宫产瘢痕部位异位妊娠对于避免任何危及生命的并发症或生育能力丧失至关重要。
