Ruptured Ectopic Pregnancy in Caesarean Section Scar
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The Case
A 24-year gravida 2, para 1, live 1 with confirmed pregnancy of 10-week 3-days gestation presented with acute abdomen. Her obstetric history was notable for one caesarean delivery two years back. In present pregnancy, she neither had any antenatal checkup nor any ultrasonography. On examination she had tachycardia and hypotension with moderate pallor. Abdomen was distended with evidence of free fluid and signs of peritonitis. Speculum examination revealed slight bleeding through cervical os. On bimanual examination uterus seemed enlarged; however, exact size could not be made out due to gross free fluid. She was resuscitated with fluids. Her haemoglobin was 5.5?gm%. Sonography showed an intact eccentrically located gestational sac with a viable fetus (CRL 11 weeks) in the anterior aspect of lower uterine segment scar with free fluid in the peritoneal cavity....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3502781/
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