Laparoscopic management of scar ectopic an unusual and interesting case report
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 3, Issue 1
Abstract
Background: Its an unusual and very interesting case of previous uterine scar ectopic pregnancy. Caesarean scar pregnancy is an ectopic pregnancy embedded in the myometrium at the site of a previous caesarean section. Reported incidence has increased over the last decade because of an increased rate of caesarean sections and increased levels of suspicion, ranging between 1:1800 and 1:2216 of all pregnancies. Ultrasonography and hysteroscopy provide useful information for diagnosis. Implantation of gestational sac at a site other than endometrial cavity is known as ectopic pregnancy. Now a days incidence of ectopic is increasing due to various reasons as IVF, infections but ectopic at a scar of previous LSCS is not very common. Suturing of edges at LSCS in monolayer or double layer, hemostasis, type of suture material used and most importantly stretching of scar subsequently either in pregnancy or MTP plays a important role in scar ectopic. I came across such a case of scar ectopic following 2 LSCS and 3 second trimester abortions.
Authors and Affiliations
Yogesh Shirgupe, Manisha Laddad
Keywords
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