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Emergency Medical Minute


May 25, 2020

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


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