Archives of Gynecology and Obstetrics

, Volume 271, Issue 2, pp 178–181 | Cite as

A misdiagnosed case of caesarean scar pregnancy

  • Jens Einenkel
  • Patrick Stumpp
  • Sabrina Kösling
  • Lars-Christian Horn
  • Michael Höckel
Case Report


Case report

We report a case of an ectopic pregnancy in a caesarean section scar, which was initially misdiagnosed despite using ultrasound. For the first time, a strongly vascularised pelvic tumour developed while the titre of serum human chorionic gonadotrophin decreased after a curettage abortion for an unwanted pregnancy.


Due to uncontrollable haemorrhage, an emergency hysterectomy had to be performed 8 weeks later.


Ectopic pregnancy Caesarean section Abortion 


  1. 1.
    Fylstra DL (2002) Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Surv 57:537–543CrossRefPubMedGoogle Scholar
  2. 2.
    Ghezzi F, Lagana D, Franchi M, Fugazzola C, Bolis P (2002) Conservative treatment by chemotherapy and uterine arteries embolization of a cesarean scar pregnancy. Eur J Obstet Gynecol Reprod Biol 103:88–91CrossRefPubMedGoogle Scholar
  3. 3.
    Godin PA, Bassil S, Donnez J (1997) An ectopic pregnancy developing in a previous caesarian section scar. Fertil Steril 67:398–400CrossRefPubMedGoogle Scholar
  4. 4.
    Herman A, Weinraub Z, Avrech O, Maymon R, Ron-El R, Bukovsky Y (1995) Follow up and outcome of isthmic pregnancy located in a previous caesarean section scar. Br J Obstet Gynaecol 102:839–841PubMedGoogle Scholar
  5. 5.
    Huang KH, Lee CL, Wang CJ, Soong YK, Lee KF (1998) Pregnancy in a previous cesarean section scar: case report. Changgeng Yi Xue Za Zhi 21:323–327PubMedGoogle Scholar
  6. 6.
    Lee CL, Wang CJ, Chao A, Yen CF, Soong YK (1999) Laparoscopic management of an ectopic pregnancy in a previous Caesarean section scar. Hum Reprod 14:1234–1236CrossRefPubMedGoogle Scholar
  7. 7.
    Liang HS, Jeng CJ, Sheen TC, Lee FK, Yang YC, Tzeng CR (2003) First-trimester uterine rupture from a placenta percreta. A case report. J Reprod Med 48:474–478PubMedGoogle Scholar
  8. 8.
    Rempen A, Albert P (1990) Diagnose und Therapie einer in der Sectionarbe implantierten Frühschwangerschaft. Z Geburtshilfe Perinatol 194:46–48PubMedGoogle Scholar
  9. 9.
    Salomon LJ, Fernandez H, Chauveaud A, Doumerc S, Frydman R (2003) Successful management of a heterotopic Caesarean scar pregnancy: potassium chloride injection with preservation of the intrauterine gestation: case report. Hum Reprod 18:189–191CrossRefPubMedGoogle Scholar
  10. 10.
    Weimin W, Wenqing L (2002) Effect of early pregnancy on a previous lower segment cesarean section scar. Int J Gynecol Obstet 77:201–207CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Jens Einenkel
    • 1
  • Patrick Stumpp
    • 2
  • Sabrina Kösling
    • 3
  • Lars-Christian Horn
    • 4
  • Michael Höckel
    • 1
  1. 1.Department of Obstetrics and GynaecologyUniversity of LeipzigLeipzigGermany
  2. 2.Department of Diagnostic RadiologyUniversity of LeipzigLeipzigGermany
  3. 3.Department of Diagnostic RadiologyMartin-Luther-University Halle-WittenbergHalle/SaaleGermany
  4. 4.Institute of PathologyUniversity of LeipzigLeipzigGermany

Personalised recommendations