Diagnostic and Management Challenges of Caesarean Scar Ectopic Pregnancy in a Lower Middle Income Country

Kwaku Asah-Opoku, Nana Essuman Oduro, Alim Swarray-Deen, Kareem Mumuni, Isaac Osei Koranteng, Rita Catherine Senker, Marcus Rijken, Kobinah Nkyekyer

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Caesarean scar ectopic pregnancy is defined as the implantation of the blastocyst in a previous Caesarean scar. It is a rare type of ectopic pregnancy. The incidence is however rising due to the increasing rates of Caesarean sections as well as in-vitro fertilization embryo-transfer. It can be diagnosed early by ultrasound. This remains a challenge in lower middle income countries where the availability of high resolution ultrasound and the skill for such sonography may be lacking. Misdiagnosis or a delay in diagnosis often leads to poor treatment outcomes. We present a case of a gravida 3 para 2 + 0 who had laparotomy for a caesarean scar pregnancy and highlight the challenges associated with diagnosis and management of this rare ectopic pregnancy in a lower middle income country.

Original languageEnglish
Article number4257696
JournalCase Reports in Obstetrics and Gynecology
Volume2019
DOIs
Publication statusPublished - 2019

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