Podcast 565: Cesarean Scar Pregnancies

Contributor: Nick Hatch, MD

Educational Pearls:

• A cesarean scar ectopic pregnancy occurs when the pregnancy implants along the scar tissue deep in the myometrium from a prior cesarean surgery, felt to be precipitated by a small fissure or fistula residual in the scar
• Diagnosis can be challenging and ultrasound may not clearly show this type of ectopic pregnancy
• MRI has been successfully used for diagnosis as well
• Various treatment options exist including medical and surgical management but if left untreated, cesarean ectopic pregnancies are life threatening

References

Gonzalez N, Tulandi T. Cesarean Scar Pregnancy: A Systematic Review. J Minim Invasive Gynecol. 2017;24(5):731‐738. doi:10.1016/j.jmig.2017.02.020

Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD