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Revista Habanera de Ciencias Médicas

versión On-line ISSN 1729-519X

Resumen

NARANJO ZELA, Ariana Estefanía; CRIOLLO CRIOLLO, Anabela del Rosario; HUILCA ALVAREZ, Edison Santiago  y  ROQUE HERRERA, Yosbanys. Pregnancy implanted in previous cesarean section scar: a rare clinical case. Rev haban cienc méd [online]. 2020, vol.19, n.4, e3006.  Epub 10-Sep-2020. ISSN 1729-519X.

Introduction:

Ectopic pregnancy occurs when the embryo is implanted outside the uterine cavity, mostly located in the fallopian tubes.

Objective:

To present a clinical case in which the patient developed an ectopic pregnancy over a previous cesarean section scar; the diagnosis was made when she was in the sixth week of her pregnancy and she could not withstand the idea of losing the baby, but the clinical picture worsened, she was very painful and became complicated quickly.

Case report:

Twenty-seven-year-old black patient with previous history of a cesarean section 9 months ago. According to ultrasound criteria, 8.6 weeks of pregnancy located in the area of a previous cesarean section scar is diagnosed. The patient receives initial treatment with methotrexate and potassium chloride to undergo a surgical procedure through instrumental intervention (curettage), confirming the diagnosis of the ultrasound and removing the embryo successfully.

Conclusions:

The management was based on the clinical and individual characteristics of the pregnant woman respecting the principle of autonomy. The patient was in good health at the moment of discharge, preserving her fertility capacity.

Palabras clave : Ectopic pregnancy, abdominal pregnancy; cesarean section; scar.

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