A rare case of caesarean scar ectopic pregnancy: a case report

Authors

  • Hiremath P. B. Department of Obstetrics and Gynecology, SVMCH and RC, Puducherry, India
  • Vinothini Anandabaskar Department of Obstetrics and Gynecology, SVMCH and RC, Puducherry, India
  • Nivedhana Arthi Department of Obstetrics and Gynecology, SVMCH and RC, Puducherry, India
  • Rohini E. Department of Obstetrics and Gynecology, SVMCH and RC, Puducherry, India
  • Indu N. R. Department of Obstetrics and Gynecology, SVMCH and RC, Puducherry, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20200925

Keywords:

Ectopic pregnancy, Hysterectomy, Laparoscopy, Laparotomy, Methotrexate, Scar, Vasopressin

Abstract

Scar ectopic pregnancy is a condition where the gestational sac implants into the previous caesarean scar site. Although it is a rare entity, its incidence is increasing due to rising rates of caesarean deliveries. Here authors report a case of caesarean scar ectopic pregnancy managed by laparotomy with caesarean scar ectopic excision following failed medical management. The patient recovered without any intraoperative or postoperative complications. An early diagnosis and management are vital in preventing maternal morbidity and mortality.

References

Brancazio S, Saramago I, Goodnight W, McGinty K. Cesarean scar ectopic pregnancy: case report. Radiol Case Rep. 2019;14:354-9.

Jayaram PM, Okunoye GO, Konje J. Caesarean scar ectopic pregnancy: diagnostic challenges and management options. Obstet Gynaecol. 2017;19:13-20.

Odgers HL, Taylor RAM, Balendran J, Benness C, Ludlow J. Rupture of caesarean scar ectopic pregnancy: a case report. Case Reports Women’s Health. 2017;14:8-10.

Timor-Tritsch IE, Monteagudo A, Unforeseen consequences of the increasing rate of caesarean deliveries: early placenta accrete and caesarean scar pregnancy. A review. Am J Obstet Gynecol. 2012;207(1):14-29.

Jayaram PM, Okunoye GO, Konje J. Caesarean scar ectopic pregnancy: diagnostic challenges and management options. The Obstet Gynaecol. 2017;19:13-20.

Majangara R, Madziyire MG, Verenga C, Manase M. Caesarean section scar ectopic pregnancy - a management conundrum: a case report. J Med Case Rep. 2019;13:2069-9.

Cali G, Timor Tritsch IE, Palacios Jaraquemada J, Monteaugudo A, Buca D. Outcome of caesarean scar pregnancy managed expectantly: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2018;51:169-75.

Ajong AB, Kenfack B, Agbor VN, Njotang PN. Ruptured caesarean scar ectopic pregnancy: a diagnostic dilemma in a resource-limited setting. BMC Res Notes. 2018;11:292.

Dhillon AS, Sood S. Caesarean scar pregnancies, diagnosis and management. Int J Reprod Contracept Obstet Gynecol. 2018;7(4):1592-6.

Fatusic J, Hudic I, Moralic AZ, Hadziefendic B. Cesarean scar pregnancy complicated with placenta percreta. Med Arch. 2019;73(1):58-60.

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Published

2020-02-27

Issue

Section

Case Reports