The no-man's land of nontubal ectopic and cesarean section scar pregnancies

Ruben Alvero

doi:10.1016/j.fertnstert.2023.07.017

The no-man's land of nontubal ectopic and cesarean section scar pregnancies

Fertil Steril. 2023 Sep;120(3 Pt 2):551-552. doi: 10.1016/j.fertnstert.2023.07.017. Epub 2023 Jul 27.

Author

Ruben Alvero¹

Affiliation

¹ Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, California; Stanford Fertility and Reproductive Health, Lucille Packard Children's Hospital, Sunnyvale, California. Electronic address: ralvero@stanford.edu.

PMID: 37506760
DOI: 10.1016/j.fertnstert.2023.07.017

Abstract

Nontubal ectopic pregnancy (NTEP) and cesarean section scar pregnancy (CCSP) are a relatively uncommon but potentially very dangerous conception event. If diagnosed early, they can be treated very effectively. Cesarean section scar ectopic is unique in that expectant management may allow them to persist longer, but with overwhelmingly catastrophic consequences. Reproductive endocrinologists are uniquely positioned to diagnose and treat NTEP/CCSP early, thereby avoiding long-term catastrophic consequences.

Keywords: Nontubal ectopic pregnancy; cesarean scar pregnancy; local injection methotrexate.

Publication types

Introductory Journal Article

MeSH terms

Adult
Cesarean Section* / adverse effects
Cicatrix* / complications
Cicatrix* / diagnostic imaging
Cicatrix* / etiology
Female
Humans
Pregnancy
Pregnancy, Ectopic* / diagnosis
Pregnancy, Ectopic* / diagnostic imaging
Pregnancy, Ectopic* / etiology
Pregnancy, Ectopic* / therapy
Review Literature as Topic