Caesarean scar pregnancy-a rare case report
Keywords:Hysterectomy, Ectopic pregnancy, Caesarean scar pregnancy
Caesarean scar pregnancy is defined as implantation into the myometrial defect at the site of the previous uterine scar of the caesarean delivery. Here in, we report a case caesarean scar pregnancy in a 28 years old woman. The patient underwent laparotomy for removal of products of conception and resuturing of scar done. Overall prevalence is I in 2000 pregnancies. Caesarean scar ectopic pregnancy is rare, but its incidence is increasing with rise in trend of caesarean sections. It is important to have early and accurate diagnosis of caesarean scar pregnancy to avoid life threatening complications.
Timor-Tritsch IE, Monteagudo A, Cali G, El Refaey H, Kaelin Agten A, Arslan AA. Easy sonographic differential diagnosis between intrauterine pregnancy and cesarean delivery scar pregnancy in the early first trimester. Am J Obstet Gynecol. 2016;215:225.e1-7.
Diagnosis and management of ectopic pregnancy: green-top guideline no. 21. BJOG. 2016;123(13):e15-55.
Majangara R, Gerald M. Cesarean section scar ectopic pregnancy - a management conundrum: a case report. J Med Case Rep. 2019;13:137.
Padubidri VG, Dafatary SN, Howkins and Bourne Shaw’s Textbook of gynaecology 15th ed. 2011;2813.
Brancazio S, Saramago I. Cesarean scar ectopic pregnancy: Case report Radiol Case Rep. 2019;14(3):354-9.
Rosen T. Placenta accreta and cesarean scar pregnancy: overlooked costs of the rising cesarean section rate. Clin Perinatol. 2008;35:519-29.
Patel MA. Scar ectopic pregnancy. J Med Biol Eng. 2015;65(6):372-5.
Yan CM. A report of four cases of caesarean scar pregnancy in a period of 12 months. Hong Kong Med J. 2007;13(2):141-3.
Jayaram PM, Okunoye GO, Konje J. Caesarean scar ectopic pregnancy: diagnostic challenges and management options. Obstet Gynaecol. 2017;19(1):13-20.
Larsen JV, Solomon MH. Pregnancy in a uterine scar sacculus: an unusual cause of post-abortal haemorrhage. A case reports. South Afri Med J. 1978;53(4):142-3.
Shen L, Tan A, Zhu H, Guo C, Liu D, Huang W. Bilateral uterine artery chemoembolization with methotrexate for cesarean scar pregnancy. Am J Obstet Gynecol. 2012;207(5):386:1-6.
Maheux-Lacroix S, Li F, Bujold E, Nesbitt-Hawes E, Deans R, Abbott J. Cesarean scar pregnancies: a systematic review of treatment options. J Minim Invasive Gynecol. 2017;24(6):915-25.
Jurkovic D, Hillaby K, Woelfer B, Lawrence A, Salim R, Elson CJ. First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Caesarean section scar. Ultrasound Obstetr Gynecol. 2003;21(3):220-27.
Maymon R, Halperin R, Mendlovic S, Schneider D, Herman A. Ectopic pregnancies in a Caesarean scar: review of the medical approach to an iatrogenic complication. Hum Reprod Update. 2004;10:515-23.