Caesarean scar ectopic pregnancy: a rare case report
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20252762Keywords:
Caesarean scar ectopic pregnancy, Caesarean section, Uterine artery embolizationAbstract
Caesarean scar ectopic is one of the rarest among all ectopic pregnancies. It is defined as a blastocyst implantation on a previous caesarean scar. The incidence of caesarean scar ectopic has increased due to rise in number of caesarean deliveries. Early diagnosis by using ultrasonography and prompt management improves the outcome by allowing preservation of future fertility. It is very important because any delay can lead to increased maternal morbidity and mortality. We are reporting a rare case of gravida3 para1 live1 abortion1 with previous one caesarean delivery, diagnosed as caesarean scar ectopic pregnancy with the help of ultrasonography. Patient underwent uterine artery embolization (UAE) after failed medical management followed by hysteroscopy and ultrasound guided dilatation and evacuation, and on histopathology examination caesarean scar pregnancy was confirmed.
Metrics
References
Ruby Lin, Natalie DiCenzo, Todd Rosen, Cesarean scar ectopic pregnancy: nuances in diagnosis and treatment. Fertil Steril. 2023;120(3):563-72. DOI: https://doi.org/10.1016/j.fertnstert.2023.07.018
Morente LS, León AIG, Reina MPE, Herrero JRA, Mesa EG, López JSJ. Cesarean Scar Ectopic Pregnancy-Case Series: Treatment Decision Algorithm and Success with Medical Treatment. Medicina (Kaunas). 2021;57(4):362. DOI: https://doi.org/10.3390/medicina57040362
Angolile CM, Max BL, Mushemba J, Mashauri HL. Global increased cesarean section rates and public health implications: A call to action. Health Sci Rep. 2023;6(5):e1274. DOI: https://doi.org/10.1002/hsr2.1274
Fylstra DL, Pound-Chang T, Grant Miller M, Cooper A, Miller KM. Ectopic pregnancy within a cesarean delivery scar: a case report. Am J Obstet Gynecol. 2002;187:302-4. DOI: https://doi.org/10.1067/mob.2002.125998
Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol. 2006;107(6):1373-81. DOI: https://doi.org/10.1097/01.AOG.0000218690.24494.ce
Walker S, Grant S, O'Brien S, Weale N, Crofts J, Vieten-Kay D, et al. Caesarean scar pregnancy presenting at 17 weeks with a journey involving an exploratory laparotomy, continuing pregnancy and delivery at 34 weeks: A case report. Case Rep Womens Health. 2024;42:e00626. DOI: https://doi.org/10.1016/j.crwh.2024.e00626
Deepika, Gupta T, Wahi S. A Rare Case Report of Caesarean Scar Ectopic Pregnancy. J Clin of Diagn Res. 2017;11(8):QD10-1.
Ma R, Chen S, Xu W, Zhang R, Zheng Y, Wang J, et al. Surgical treatment of cesarean scar pregnancy based on the three-category system: a retrospective analysis. BMC Pregnancy Childbirth. 2024;24(1):687. DOI: https://doi.org/10.1186/s12884-024-06887-0
Rosa F, Perugin G, Schettini D, Romano N, Romeo S, Podestà R, et al. Imaging findings of cesarean delivery complications: cesarean scar disease and much more. Insights Imaging. 2019;10(1):98. DOI: https://doi.org/10.1186/s13244-019-0780-0
Sivalingam VN, Duncan WC, Kirk E, Shephard LA, Horne AW. Diagnosis and management of ectopic pregnancy. J Fam Plann Reprod Health Care. 2011;37(4):231-40. DOI: https://doi.org/10.1136/jfprhc-2011-0073
Rizk B, Holiday CP, Owens S, Abuzeid M. Cervical and caesarean scar ectopic pregnancies: diagnosis and management. Middle East Fertil Soc J. 2013;18(2):67-73. DOI: https://doi.org/10.1016/j.mefs.2013.01.011