Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Caesareans Section Scar Ectopic Pregnancy: An Emerging Challenge

Version 1 : Received: 18 February 2021 / Approved: 19 February 2021 / Online: 19 February 2021 (14:35:47 CET)

How to cite: Al-Talib, A. Caesareans Section Scar Ectopic Pregnancy: An Emerging Challenge. Preprints 2021, 2021020444 (doi: 10.20944/preprints202102.0444.v1). Al-Talib, A. Caesareans Section Scar Ectopic Pregnancy: An Emerging Challenge. Preprints 2021, 2021020444 (doi: 10.20944/preprints202102.0444.v1).

Abstract

Caesarean scar ectopic pregnancy (CSEP) is an uncommon form of ectopic pregnancy. This review defines types of CSEP, discusses pathophysiology, clinical presentation and diagnosis and compares common treatment options and outcomes. The pathophysiology is not yet fully understood. One third of patient are asymptomatic. In symptomatic patients vaginal bleeding and pelvic pain which is usually misdiagnosed as threatened or missed abortion. The main principles of treatment for CSEP are early diagnose, quick management, and maintain reproductive function as much as possible. Up to date; no consensus or guidelines for the treatment and management of CSEP. Management of CSEP depends on the clinical presentation and gestational age. Significant controversy exists regarding management, for this reason, several factors should be considered including age of the patient, myometrial thickness, clinical symptoms, hemodynamic status, fertility preservation.

Keywords

Caesarean scar ectopic pregnancy; risk factors; clinical presentation; complication; management; outcome of CSEP

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