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Vol. 47. Issue 2.
Pages 91-95 (January 2004)
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Vol. 47. Issue 2.
Pages 91-95 (January 2004)
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Embarazo ectópico sobre cicatriz de cesárea anterior
Ectopic pregnancy in a previous cesarean section scar
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C. Guix
Corresponding author
cguix@yahoo.es

Correspondencia: Instituto Clínico de Ginecología, Obstetricia y Neonatología. Hospital Clínic. C/ Villarroel 170. 08036 Barcelona. España
, O. Gómez, J. Bellart, J.M. Martínez, B. Puerto, V. Cararach, J.A. Vanrell
Instituto Clínico de Ginecología, Obstetricia y Neonatología. Hospital Clínic. Universidad de Barcelona. Barcelona. España
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Resumen

El embarazo implantado sobre la cicatriz de una cesárea anterior constituye la localización más infrecuente de los embarazos ectópicos y, posiblemente, es una de las más peligrosas por el riesgo de rotura uterina y hemorragia que comporta. Se trata de una entidad rara, con pocos casos publicados en la bibliografía mundial y en la que el diagnóstico diferencial puede llegar a ser muy dificultoso. La incertidumbre en los criterios diagnósticos y en su pronóstico hace que no exista hoy un consenso aceptado sobre cuál es la mejor opción terapéutica.

Palabras Clave:
Gestación ectópica
Cicatriz de cesárea previa
Resonancia nuclear magnética
Abstract

Ectopic pregnancy in a previous cesarean section scar is the rarest of ectopic pregnancy locations and is possibly one of the most dangerous because of the risk of uterine rupture and hemorrhage. Few reports on this type of ectopic pregnancy have been published and differential diagnosis may be difficult. Because the diagnostic criteria and prognosis are uncertain, consensus on the preferred treatment is lacking.

Key Words:
Ectopic pregnancy
Cesarean scar
Magnetic resonance imaging
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Copyright © 2004. Sociedad Española de Ginecología y Obstetricia
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