Caesarean scar pregnancy: a case report with review of management options

Authors

  • Vandana Rani Department of Obstetrics and Gynaecology, Pt B. D. S, PGIMS, Rohtak, Haryana, India
  • Shaveta Jain Department of Obstetrics and Gynaecology, Pt B. D. S, PGIMS, Rohtak, Haryana, India
  • Vani Malhotra Department of Obstetrics and Gynaecology, Pt B. D. S, PGIMS, Rohtak, Haryana, India
  • Meenakshi B. Chauhan Department of Obstetrics and Gynaecology, Pt B. D. S, PGIMS, Rohtak, Haryana, India
  • Sarika Gautam Department of Obstetrics and Gynaecology, Pt B. D. S, PGIMS, Rohtak, Haryana, India
  • Smiti Nanda Department of Obstetrics and Gynaecology, Pt B. D. S, PGIMS, Rohtak, Haryana, India
  • Neetu Sangwan Department of Obstetrics and Gynaecology, Pt B. D. S, PGIMS, Rohtak, Haryana, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20194905

Keywords:

Cesarean scar pregnancy, Cesarean section, Ectopic, Methotrexate, Mifepristone, Serum β-hCG

Abstract

Cesarean scar pregnancy is a rare but life-threatening complication. It is the abnormal implantation of gestational sac into myometrium and fibrous scar of previous cesarean section. Its incidence is on rising trend due to increase in rate of cesarean section all over the world. A thirty years old second gravida presented at eight weeks of gestation with complaints of bleeding per vaginum and pain lower abdomen. She was diagnosed as a case of cesarean scar pregnancy (CSP) on ultrasonography and confirmation of diagnosis was done on magnetic resonance imaging. Medical management of scar pregnancy was done successfully with combination of mifepristone and methotrexate. Cesarean scar pregnancy could be catastrophic, if not managed well in time. Management includes both surgical and medical options. Treatment has to be individualized depending on patient’s hemodynamic profile, size of gestational sac, desire for future fertility, compliance for follow up and availability of interventional radiology.

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Published

2019-10-23

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Section

Case Reports