Clinical Case Database / Category: Patient Management

Recognising caesarean scar ectopic pregnancy - an uncommon but life threatening condition

Publication details

Miss Catherine Mammen FRCOG, Dr George Joy
Foundation Years Journal, volume 8, issue 7, p.16 (123Doc Education, London, July 2014)


A 34 year old lady attended the emergency department at 6 weeks gestation with mild vaginal bleeding. Her medical history included Type 1 Diabetes for which she was on insulin. She had one child aged 6 years born by emergency caesarean section.

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Miss Catherine Mammen FRCOG

Consultant Obstetrician and Gynaecologist
The Royal Oldham Hospital
Rochdale Road, Oldham, OL1 2JH.

Dr George Joy

Foundation Year 1 doctor
Queen Elizabeth Hospital, Woolwich
Stadium Road, London, SE18 4QH


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2. M Gun, Mavrogiorgis M. Cervical ectopic pregnancy: a case report and literature review. Ultrasound Obstetric Gynecol 2002;19:297-301.
3. Comstock CH, Bronsteen RA. The antenatal diagnosis of placenta accreta: Br J Obstet Gynecol
4. Wu W, Kim SC. Placenta increta after first trimester dilatation and curettage manifesting as an unusual mass: magnetic resonance findings. Acta Radiol 2007; 48:938-40.
5. Lipscomb, Gary H et al. Predictors of success of methotrexate treatment in women with tubal ectopic pregnancies. Obstetrical & Gynecological Survey.2000;55:363-364.
6. Check JH,Weiss R, Lurie D. Analysis of serum human chorionic gonadotrophin levels in normal singleton, multiple and abnormal pregnancies. Human Reproduction 1992;7(8):1176-80.
7. Jurkovic D, Hillaby K, Woelfer B,et al. First-trimester diagnosis and management of pregnancies implanted into the lower uterine caesarean section scar. Ultrasound Obstetric Gynecol 2003;21:220-227.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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