Rare Case of Scar Ectopic Pregnancy : Presenting as Missed Abortion

Isra Khan *

Department of Radio-diagnosis, JNMCH, Aligarh Muslim University, India.

Saifullah Khalid

Department of Radio-diagnosis, JNMCH, Aligarh Muslim University, India.

Emad Alvi

Department of Surgery, JNMCH, Aligarh Muslim University, India.

Sameera Khanam

Department of Obstetrics and Gynaecology, RML Hospital of Medical Sciences, Lucknow, India.

Saad Mohammad

Department of Orthopaedics, Integral University of Health Sciences, Lucknow, India.

Mohammad Nasim Khan

Department of Paediatrics, Faculty of Medicine, Umm Al Qura University, Makkah, Saudi Arabia.

*Author to whom correspondence should be addressed.


Scar ectopic pregnancy is one of the rarest form of ectopic pregnancy. It is a life-threatening form of abnormal implantation of embryo within the myometrium and fibrous tissues in a previous scar on the uterus, especially following caesarean section.

The early and accurate diagnosis with timely management can prevent pregnancy complications such as haemorrhage and uterine rupture and can preserve fertility(1)

Keywords: Scar ectopic, caesarean, pregnancy, TVS, haemorrhage, uterine rupture

How to Cite

Khan , I., Khalid , S., Alvi , E., Khanam , S., Mohammad , S., & Khan , M. N. (2023). Rare Case of Scar Ectopic Pregnancy : Presenting as Missed Abortion. Asian Research Journal of Gynaecology and Obstetrics, 6(1), 167–171. Retrieved from https://journalarjgo.com/index.php/ARJGO/article/view/183


Patel MA. Scar Ectopic Pregnancy. J Obstet Gynaecol India. 2015;65(6):372-5. DOI: 10.1007/s13224-015-0817-3.

Epub 2015 Nov 21. PMID: 26663994; PMCID: PMC4666214.

Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: Etiology, diagnosis and management. Obstet Gynecol. 2006;107:1373–1377. DOI: 10.1097/01.AOG.0000218690.24494.ce

Yu XL, Zhang N, Zuo WL, et al. Cesarean scar pregnancy: an analysis of 100 cases. Zhonghua Yi Xue Za Zhi. 2011; 91(45):3186–3189,

Timor-Tritsch IE, Monteagudo A, Santos R, et al. The diagnosis, treatment and follow-up of cesarean scar pregnancy. Am J Obstet Gynecol. 2012;207:44–46. DOI: 10.1016/j.ajog.2012.03.007

Maymon R, Halperin R, Mendlovic S, Schneider D, Herman A. Ectopic pregnancies in a caesarean scar: review of the medical approach to an iatrogenic complication. Hum Reprod Update. 2004; 10:515–523

Chiang AJ, La V, Chou CP, Wang PH, Yu KJ. Ectopic pregnancy in a cesarean section scar. Fertil Steril. 2011;95:2388–2389m.

Deepika Gupta T, Wahi S. A rare case report of caesarean scar ectopic pregnancy. J Clin Diagn Res. 2017; 11(8):QD10-QD11.

DOI: 10.7860/JCDR/2017/24611.10523.

Epub 2017 Aug 1. PMID: 28969218; PMCID: PMC5620859.

Jurkovic D, Jauniaux E, Kurjak A, Hustin J, Campbell S, Nicolaides KH. Transvaginal color Doppler assessment of the uteroplacental circulation in early pregnancy. Obstet Gynecol. 1991;77: 365– 369.

Linda Y. Kao, Meir H. Scheinfeld, Victoria Chernyak, et al Beyond ultrasound: CT and MRI of ectopic pregnancy. AJR. 202(4). Avaialble:https://doi.org/10.2214/AJR.13.10644

Singh AK, Desai H, Novelline RA. Emergency MRI of acute pelvic pain: MR protocol with no oral contrast. Emerg Radiol. 2009;16:133–141.