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Uterine Perforation after Ameu by Anembrionic Ectopic Pregnancy in Uterine Scar (Kerr): Case Report

Saldívar-Rodríguez D1, Vidal-Torres D1, Phillips-Esparza EI1*, Treviño-Montemayor OR1 Garza-Leal JG2 and Morales-Avalos R1* 1Gynecology and Obstetrics Service of the University Hospital, México 2Autonomous University of Nuevo Leon (UANL), Monterrey, Nuevo León, México

Journal Title:Annals of Medical & Surgical Case Reports
Abstract


Introduction: Ectopic pregnancy in the previous uterine scar is a relatively new site of ectopic implantation due to the increase in caesarean sections, representing 6% of ectopic pregnancies in patients with 1 previous caesarean section. Case report: 26-year-old woman, G3C2 with short intergenic period (last obstetric event: 01-12-2017 and date of last menstruation: 08-28-2018), attends assessment due to poor and painless tansvaginal bleeding. Anembryonic pregnancy is diagnosed by vaginal ultrasound. It is decided to give medical treatment with misoprostol 800mcg vaginally 1 dose every 3 days for 2 doses. Conclusion: Uterine perforation is an expected complication of an EUMA however the possibility of an ectopic pregnancy in the previous uterine scar due to the increased risk of uterine perforation must be taken into account.

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