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The Journal "Obstetrics and Gynecology"Journal HistoryAims and ScopePolicies on Conflict of Interest, Human and Animal Rights, and Informed ConsentEditorial ProcessData sharing statementAdvertising PolicyThe Process for Handling Cases Requiring Corrections, Retractions, and Editorial Expressions of ConcernEditorial BoardEditorial CounsilInformation for ProfessionalsNewsContacts
ArchiveEthical StandardsSubscription
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InstructionsInformed consent policyContract offerEASE GuidelinesICJME CriteriaWAME Recommendations on ChatGPT and Chatbots in Relation to Scholarly Publications
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Obstetrics and Gynegology2024№11
A rare localization of ectopic...

A rare localization of ectopic pregnancy: cervical and cesarean scar pregnancy

DOI
https://dx.doi.org/10.18565/aig.2024.248

Danilov A.A., Kozachenko A.V.

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, Moscow, Russia

This review presents the main aspects of a rare localization of ectopic pregnancy, namely cervical and cesarean scar pregnancy. It should be noted that the incidence of this type of ectopic pregnancy is increasing in the modern world.  In addition to the well-known risk factors for ectopic pregnancy, the increasing prevalence of abdominal-pelvic surgery, assisted reproductive technologies (ART), and operative abdominal delivery are discussed as potential contributing factors. This paper considers the pathogenetic mechanisms of ectopic pregnancy that may occur in the cesarean scar and in the cervix, as well as the classification of pregnancy variants and the diagnostic methods that may be used to identify these variants. The article presents an overview of the various tactical approaches to surgical and non-surgical treatment, combinations of different techniques aimed at preserving the organ and reproductive potential.  
Conclusion: Due to the unique nature of this pathology, there is no single algorithm for diagnosis and treatment, and various therapeutic approaches are used. Therefore, further studies are required to improve the management of ectopic pregnancies with rare localization.

Authors’ contributions: Kozachenko A.V. – writing and final editing of the text of the article; Danilov A.A. – selecting sources of literature, writing the text of the article.
Conflicts of interest: Authors declare lack of the possible conflicts of interest.
Funding: The study was carried out without sponsorship.
For citation: Danilov A.A., Kozachenko A.V. 
A rare localization of ectopic pregnancy: cervical and cesarean scar pregnancy.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (11): 5-11 (in Russian)
https://dx.doi.org/10.18565/aig.2024.248

Keywords

ectopic pregnancy
cervical pregnancy
cesarean scar pregnancy
hysteroresectoscopy
methotrexate
uterine artery embolization
Full text (in Russian)

References

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Received 09.10.2024

Accepted 29.10.2024

About the Authors

Anton A. Danilov, PhD student at Gynecological Department, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia, 117997, Russia, Moscow,
Ac. Oparin str., 4, +7(495)438-77-83, an_danilov@oparina4.ru, https://orcid.org/0009-0005-2461-5354
Andrey V. Kozachenko, Dr. Med. Sci., Leading Researcher, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia, 117997, Russia, Moscow,
Ac. Oparin str., 4, +7(916)614-41-32, a_kozachenko@oparina4.ru, https://orcid.org/0000-0002-5573-6694

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