alexa A Report of Four Cases of Caesarean Scar Pregnancy in a Period of 24 Months
ISSN: 2168-9784

Journal of Medical Diagnostic Methods
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Case Report

A Report of Four Cases of Caesarean Scar Pregnancy in a Period of 24 Months

Wael El Guindi1*, Mahmoud Alalfy2, Amr Abasy2, Ahmed Ellithy1, Ahmed Nabil1 , Omar Abdalfatah1, Mohamed Ramadan 1 and Sondos Salem2

1Al Safwa Hospital, 6 October City, Egypt

2National Institution Center, Cairo, Egypt

*Corresponding Author:
Wael El Guindi
Al Safwa Hospital
6 October City, Egypt
E-mail: [email protected]

Received date May 18, 2013; Accepted date June 12, 2013; Published date June 14, 2013

Citation: Guindi WEl, Alalfy M, Abasy A, Ellithy A, Nabil A, Abdalfatah O, et al. (2013) A Report of Four Cases of Caesarean Scar Pregnancy in a Period of 24 Months. J Med Diagn Meth 2: 121. doi:10.4172/2168-9784.1000121

Copyright: © 2013 Guindi WEl, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



The implantation of a pregnancy within the scar of a previous caesarean delivery is the rarest of ectopic pregnancy locations. If it is diagnosed early, treatment options are capable of preserving the uterus and subsequent fertility.
Objective: Pregnancy in previous caesarean scar is the rarest form of ectopic pregnancy. We aimed to present 4 cases of caesarean scar ectopic pregnancy and assess the potential role of three dimensional ultrasonography in the diagnosis.
Design: We report 4 cases of caesarean scar pregnancies; one of them was initially mistaken for a viable intrauterine pregnancy.
Results: 2 cases had transcervical aspiration of the gestational sac and two by open surgery. One underwent hysterectomy and the other laparotomy and excision of the pregnancy located in the CS scar.
Conclusions: We report on four cases of caesarean scar pregnancy with different modes of treatment. The three dimensional ultrasound improved visualisation of the caesarean scar pregnancy. Care should be taken in the diagnosis of caesarean scar twin pregnancy by a transvaginal ultrasonography in order to not mistake a caesarean scar pregnancy for an intrauterine pregnancy.


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