The marks that humans’ leave are too often scars

Authors

  • Nandita Sushilkumar Kaushal Department of Obstetrics and Gynecology, TNMC and BYL Nair Hospital, Mumbai, Maharashtra, India
  • Shrikrushna Vasant Chavan Department of Obstetrics and Gynecology, Government Medical College & Hospital, Nagpur, Maharashtra, India
  • Arundhati Gundu Tilve Department of Obstetrics and Gynecology, TNMC and BYL Nair Hospital, Mumbai, Maharashtra, India
  • C. V. Hegde Department of Obstetrics and Gynecology, TNMC and BYL Nair Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20205270

Keywords:

Previous-caesarean, Scar-ectopic, Laparoscopy, B-human chorionic gonadotropin, Ultrasound

Abstract

Caesarean scar ectopics are the newest member of this obstetric emergency. Although rare, are associated with torrential haemorrhage. Gravida 3 para 2 with previous two caesarean sections with spotting per vaginum. Ultrasound showed a pregnancy embedded in the scar of previous caesarean section. MRI confirmed it. Beta human chorionic gonadotropin (HCG) was 15000 which dropped to 5000 after. An innovative approach was taken to laparoscopically evacuate the pregnancy. The products of conception were removed and the incision sutured so as to achieve haemostasis. Beta HCG was 15000 which dropped to 5000. Patient was haemodynamically stable and discharged on day 3. An innovative approach with skilled surgical technique not only decreased the morbidity but also avoided an unnecessary hysterectomy.

Author Biography

Nandita Sushilkumar Kaushal, Department of Obstetrics and Gynecology, TNMC and BYL Nair Hospital, Mumbai, Maharashtra, India

ASSISTANT PROFESSOR , DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

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Published

2020-11-26

Issue

Section

Case Reports