{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:36:34Z","timestamp":1747190194614,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,11,11]],"date-time":"2019-11-11T00:00:00Z","timestamp":1573430400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2019,11,11]]},"abstract":"<jats:p>Caesarean scar ectopic pregnancy is defined as the implantation of the blastocyst in a previous Caesarean scar. It is a rare type of ectopic pregnancy. The incidence is however rising due to the increasing rates of Caesarean sections as well as in-vitro fertilization embryo-transfer. It can be diagnosed early by ultrasound. This remains a challenge in lower middle income countries where the availability of high resolution ultrasound and the skill for such sonography may be lacking. Misdiagnosis or a delay in diagnosis often leads to poor treatment outcomes. We present a case of a gravida 3 para 2\u2009+\u20090 who had laparotomy for a caesarean scar pregnancy and highlight the challenges associated with diagnosis and management of this rare ectopic pregnancy in a lower middle income country.<\/jats:p>","DOI":"10.1155\/2019\/4257696","type":"journal-article","created":{"date-parts":[[2019,11,11]],"date-time":"2019-11-11T18:32:44Z","timestamp":1573497164000},"page":"1-5","source":"Crossref","is-referenced-by-count":1,"title":["Diagnostic and Management Challenges of Caesarean Scar Ectopic Pregnancy in a Lower Middle Income Country"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4770-8837","authenticated-orcid":true,"given":"Kwaku","family":"Asah-Opoku","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Ghana School of Medicine and Dentistry (UGSMD), Korle-Bu, Accra, Ghana"},{"name":"Korle-Bu Teaching Hospital, Department of Obstetrics and Gynaecology, Korle-Bu, Accra, Ghana"},{"name":"Department of Obstetrics and Gynaecology, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands"},{"name":"Julius Global Health, Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nana Essuman","family":"Oduro","sequence":"additional","affiliation":[{"name":"Korle-Bu Teaching Hospital, Department of Obstetrics and Gynaecology, Korle-Bu, Accra, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alim","family":"Swarray-Deen","sequence":"additional","affiliation":[{"name":"Korle-Bu Teaching Hospital, Department of Obstetrics and Gynaecology, Korle-Bu, Accra, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kareem","family":"Mumuni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Ghana School of Medicine and Dentistry (UGSMD), Korle-Bu, Accra, Ghana"},{"name":"Korle-Bu Teaching Hospital, Department of Obstetrics and Gynaecology, Korle-Bu, Accra, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaac Osei","family":"Koranteng","sequence":"additional","affiliation":[{"name":"Korle-Bu Teaching Hospital, Department of Obstetrics and Gynaecology, Korle-Bu, Accra, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita Catherine","family":"Senker","sequence":"additional","affiliation":[{"name":"Korle-Bu Teaching Hospital, Department of Obstetrics and Gynaecology, Korle-Bu, Accra, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Rijken","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands"},{"name":"Julius Global Health, Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kobinah","family":"Nkyekyer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Ghana School of Medicine and Dentistry (UGSMD), Korle-Bu, Accra, Ghana"},{"name":"Korle-Bu Teaching Hospital, Department of Obstetrics and Gynaecology, Korle-Bu, Accra, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1995.tb10855.x"},{"issue":"4","key":"2","first-page":"142","volume":"53","year":"1978","journal-title":"South African Medical Journal"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1002\/uog.56"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1002\/uog.974"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2007.11.091"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-015-0817-3"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2014.04.003"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000218690.24494.ce"},{"key":"9","first-page":"16","volume":"60","year":"2015","journal-title":"Contemporary Obstetrics and Gynecology"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2012.01892.x"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmh042"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.10.857"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.mefs.2013.01.011"},{"key":"14","first-page":"3","volume":"16","year":"2017","journal-title":"Online Journal of Health & Allied Sciences"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2018.12.001"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1111\/tog.12355"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2005.07.1322"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2019\/4257696.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2019\/4257696.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2019\/4257696.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,11,11]],"date-time":"2019-11-11T18:32:46Z","timestamp":1573497166000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criog\/2019\/4257696\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,11]]},"references-count":17,"alternative-id":["4257696","4257696"],"URL":"https:\/\/doi.org\/10.1155\/2019\/4257696","relation":{},"ISSN":["2090-6684","2090-6692"],"issn-type":[{"type":"print","value":"2090-6684"},{"type":"electronic","value":"2090-6692"}],"subject":[],"published":{"date-parts":[[2019,11,11]]}}}