EP28.21: Heterotrophic pregnancy, Caesarean scar pregnancy and tubal ectopic pregnancy simultaneously

Molar Pregnancy Presents as Tubal Ectopic Pregnancy

A case of spontaneous tubal pregnancy with caesarean scar pregnancy.

Tubal pregnancy with caesarean scar pregnancy is rare. Early, accurate diagnosis and treatment for this kind of ectopic pregnancy can lead to a decrease of maternal morbidity and mortality. Here, we report a rare case of spontaneous tubal pregnancy co-existing with caesarean scar pregnancy. After timely emergency laparoscopy and curettage, the patient was cured.

Ectopic pregnancy in previous Caesarean section scar.

We report two cases of Caesarean scar pregnancies that were managed surgically. The first case was a 33-year-old woman who presented at 21 weeks of gestation with lower abdominal pain. An exploratory laparotomy was performed as she was hypotensive and had a drastic drop in haemoglobin level. Intraoperatively, a ruptured scar ectopic pregnancy with placenta percreta was found. A hysterectomy was...

Laparoscopic excision of caesarean scar ectopic pregnancy.

A 36-year-old female who had a emergency caesarean section 7 years ago due to fetal distress, this time presented to the clinic for the dating scan. Transvaginal ultrasound showed a gestational sac of 21 mm size with a fetal pole over the previous caesarean scar and there were no free fluid in the peritoneal cavity. Patient was clinically asymptomatic on presentation. Laparoscopic excision of c...

ECTOPIC PREGNANCY Tubal Pregnancy, Eccyesis

An ectopic pregnancy (Greek ektopos, or out of place), or eccysis, is a complication of pregnancy in which the embryo implants outside the uterine cavity. In a normal pregnancy, the fertilized egg enters the uterus and settles into the uterine lining where it has plenty of room to divide and grow. About 1% of pregnancies are in an ectopic location with implantation not occurring inside of the w...