Concomitant Caesarian section and ovarian ectopic pregnancies: A case report of rarest forms

Main Article Content

Rasha Khudair Abbas Alshammari
Faik T. Al-Gailani
Marwah A.Hussein

Keywords

twin ectopic gestation, caesarean section scar ectopic pregnancy, ovarian ectopic pregnancy

Abstract

The ectopic pregnancy is a complication in which the fertilized ovum is implanted any where other than endometrial cavity. This condition presents a substantial risk for sever maternal morbidity and mortality because of change in securing a prompt diagnosis. In general, the incidence of ectopic pregnancy is increased so that the rarest form started to be not uncommon. We report an extremely rare case of twin ectopic pregnancy, one is in a caesarean section scar and the other is in the left ovary. It has been diagnosed by trans-abdominal ultrasound and treated surgically.

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References

1. 2019 AlGadeeb et al. cesarean scar-unusual site of ectopic pregnancy. Cureus 11(10):e5970. DOI 10.7759 cureus 5970.
2. Lorena Sabonet Morente et al . cesarean scar ectopic pregnancy. Medicina 2021,57,362.
3. Olesa Jungkman & Julia Anderson. Important of early detection of caesarean scar ectopic pregnancy. Journal of Diagnostic Medical Sonography 2015, vol 31 (5) 318-321.
4. Scott J. Haight et al. My most unusual case. Emergency Medicine. 2014 october; 46 (10): 462-465.
5. Taryn Hoffman & Judy Lin. Cesarean scar ectopic pregnancy. Diagnosed with ultrasound. Clin Pract Cases Emerg. Med. 2022 Feb; 4 (1); 65-68.
6. Lauria Montgomery Irvine. Cesarean scar ectopic pregnancy. Ectopic Pregnancy Foundation 2022/ registered Charity No: 1122286.
7. Folasade Akhanoba et al. Cesarean Scar Ectopic Pregnancies. Open Journal of obstetrics & gynecology, 2017, 7, 608-615.
8. Agrawal P et al. Cesarean scar ectopic of 12 weeks. Int J Reprod Obstet Gynecol. 2020 Nov; 9 (11): 4773-4776.
9. Katherine Maslowski et al. Cesarean scar ectopic pregnancy. NZMJ 16 April, vol 134 No 1533.
10. Mustafa Koplay et al. Ectopic pregnancy in cesarean section scar. Case Reports in Surgery. Volume 2016, Article ID 7460687, 4 pages.
11. Majangara et al. Cesarean section scar ectopic pregnancy. Journal of Medical case Reports (2019)13:137.
12. R. Maymon et al. Ectopic pregnancy in cesarean section scar: the 8 year experience of one medical center. Human Reproduction vol 19, pp. 278-284, 2004.
13. Sra Fenerty et al. Cesarean scar ectopic pregnancy. App Radiol. 2017; 46 (12):20-21.
14. Deepika et al. A rare case report of cesarean scar ectopic pregnancy. J Clin Diagn Res. 2017 Aug. 11 (8). QD 10-QD 11.
15. Prapas Meethong & Manus Chalermsanyyakorn. Full term primary pregnancy with living child & mother. Thia Journal of obstetrics & Gynaecology. January 2008, vol. 16, pp. 71-76.
16. Cinthya Sotelo. Ovarian ectopic pregnancy: A Clinical Analysis. The Journal for Nurse Practitioners 15 (2019)224-227.
17. Brige et al. Medical management of an ovarian ectopic pregnancy. Journal of Medical case reports (2015) 9:290
18. Maryem Bouab et al. Diagnosis & management of ectopic ovarian pregnancy. International Journal of Surgery Case Reports 91 (2022)106742.
19. Lajya Devi Goya. Ovarian ectopic pregnancy. Iran J Reprod Med vol. 12 No. 12. pp:825-830, December 2014.
20. Jillian Van Vliet Kadau. Sonographic detection of ovarian ectopic pregnancy. Journal of Diagnostic medical Sonography. 2016, vol.32 (5) 299-303
21. Dong Won Hwang. Ovarian pregnancy ruptured in second trimester manifesting mental changes in pregnancy. Obstet Gynecol Sci 2020: 63 (2):209-212.
22. Hatav Ghasemi Tehrani et al. Ovarian ectopic pregnancy. Iran J Reprod Med vol 12 No. 4 PP281-284, April 2014.
23. Tayup Simsek. Heterotopic triplet pregnancy (twin tubal) in natural cycle with tubal rupture. Journal of Obstetrics & Gynaecology Resrarch / volume 34, issue 4pt2/ p. 759-762.