Surgical management of caesarean scar pregnancy: a case report

Authors

  • Savita Singh Gautam Department of Obstetrics and Gynecology, Sunshine Hospital Bilaspur, Chhattisgarh, India
  • Manmeet Kaur Department of Obstetrics and Gynecology, Lady Hardinge, Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20201266

Keywords:

Caesarean scar pregnancy, Ectopic pregnancy, Laparotomy

Abstract

Caesarean scar ectopic is one of the rarest of all ectopic pregnancies. The incidence of caesarean scar pregnancy (CSP), which was extremely rare till recent times, has been rising steadily. Case have more of such cases being published in medical literature now. It is defined as when a blastocyst implants on a previous caesarean scar. The incidence of caesarean scar ectopic has increased due to increase in number of caesarean deliveries. Early diagnosis of this can be done by using ultrasound. It is very important because a delay can lead to increased maternal morbidity and mortality. Early diagnosis leads to prompt management and improves the outcome by allowing preservation of future fertility. Magnetic resonance imaging (MRI) has important role when sonography is equivocal or inconclusive before therapy or intervention. Case are reporting a rare case of G2P1l1 with previous one caesarean delivery, diagnosed as caesarean scar ectopic pregnancy with the help of sonography. Patient underwent laparotomy and on histopathological examination caesarean scar pregnancy was confirmed. Due to the rarity of this condition, there are no specific guidelines available for its management.

Metrics

Metrics Loading ...

References

Tulpin L, Morel O, Malartic C, Barranger E. Conservative management of a caesarean scar ectopic pregnancy: a case report. Cases J. 2009;2(8):7794.

Al-Nazer A, Omar L, Wahba M, Abbas T, Abdulkarim M. Ectopic intramural pregnancy developing at the site of a cesarean section scar: a case report. Cases J. 2009;2(11):9404.

Muraji M, Mabuchi S, Hisamoto K, Muranishi M, Kanagawa T, Nishio Y, et al. Caesarean scar pregnancies successfully treated with methotrexate. Acta Obstet Gynecol Scand. 2009;88(6):720-3.

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 Obstet Gynecol. 2003;21(3):220-7.

Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. BJOG. 2007;114(3):253-63.

Litwicka K, Greco E. Caesarean scar pregnancy: a review of management options. Current Opin Obstet Gynecol. 2011;23(6):415-21.

Roy MM, Radfar F. Management of viable caesarean scar pregnancy a case report. Oman Med J. 2017;32(2):161-6.

Aich R, Solanki N, Kakadiya K, Bansal A, Joshi M, Nawale A. Ectopic pregnancy in caesarean section scar: a case report. Radiol Case Reports. 2015;10(4):68-71.

Fylstra DL. Ectopic pregnancy not within the (distal) fallopian tube: aetiology, diagnosis, and treatment. Am J Obstet Gynaecol. 2012;206(4):289-99.

Zhuang Y, Huang L. Uterine artery embolization compared with methotrexate for the management of pregnancy implanted within a cesarean scar. Am J Obstet Gynecol. 2009;201(2):152.e1-152.e3.

Zhu X, Deng X, Wan Y, Xiao S, Huang J, Zhang L, et al. High intensity focused ultrasound combined with suction curettage for the treatment of caesarean scar pregnancy. Med. (Baltimore). 2015;94(18):e854.

Downloads

Published

2020-03-25

How to Cite

Gautam, S. S., & Kaur, M. (2020). Surgical management of caesarean scar pregnancy: a case report. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 9(4), 1769–1771. https://doi.org/10.18203/2320-1770.ijrcog20201266

Issue

Section

Case Reports