Caesarean scar pregnancy (CSP): a rare case of complete scar dehiscence due to scar ectopic pregnancy and its management

2013 ◽  
Vol 288 (1) ◽  
pp. 231-232 ◽  
Author(s):  
N. Agarwal ◽  
A. Shahid ◽  
F. Odejinmi
Keyword(s):  
Ectopic Pregnancy ◽  
Rare Case ◽  
Caesarean Scar ◽  
Caesarean Scar Pregnancy

scholarly journals Ruptured Ectopic Pregnancy in Caesarean Section Scar: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Kamal Singh ◽  
Anjali Soni ◽  
Shelly Rana
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Maternal Morbidity ◽  
Rare Case ◽  
First Trimester ◽  
Transvaginal Sonography ◽  
Caesarean Scar ◽  
Future Fertility ◽  
Caesarean Scar Pregnancy

Pregnancy implantation within previous caesarean scar is one of the rarest locations for an ectopic pregnancy. Incidence of caesarean section is increasing worldwide and with more liberal use of transvaginal sonography, more cases of caesarean scar pregnancy are being diagnosed in early pregnancy thus allowing preservation of uterus and fertility. However, a delay in either diagnosis or treatment can lead to uterine rupture, hysterectomy, and significant maternal morbidity. We are reporting a rare case of first trimester caesarean scar pregnancy with viable fetus in the process of rupture, where uterine repair could be done, thus preserving the future fertility.

CAESAREAN SCAR ECTOPIC -A RARE ENTITY

2021 ◽  
pp. 28-29
Author(s):  
Naina Yadav ◽  
Kalpana Tiwari ◽  
Priyanka Goel
Keyword(s):  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Previous Caesarean Section ◽  
Rare Entity ◽  
Caesarean Scar ◽  
Caesarean Scar Pregnancy

Caesarean scar pregnancy (CSP) is an ectopic pregnancy implanted in (1) the myometrium at the site of a previous caesarean section scar Its incidence is rising with the increase in number of caesarean sections .Very rst case was reported in 1978

Ectopic Pregnancy within the Caesarean Scar: Extremely Rare Case Complicated by Incomplete Curettage Following Voluntary Interruption of Pregnancy

2009 ◽  
Vol 16 (6) ◽  
pp. S143-S144
Author(s):  
M.T. Achilarre ◽  
S. Bettocchi ◽  
L. Pinto ◽  
C. Nardelli ◽  
A.L. Camporeale ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Rare Case ◽  
Caesarean Scar

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

2020 ◽  
Vol 9 (3) ◽  
pp. 1315
Author(s):  
Hiremath P. B. ◽  
Vinothini Anandabaskar ◽  
Nivedhana Arthi ◽  
Rohini E. ◽  
Indu N. R.
Keyword(s):  
Case Report ◽  
Postoperative Complications ◽  
Early Diagnosis ◽  
Ectopic Pregnancy ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Rare Entity ◽  
Caesarean Scar ◽  
Maternal Morbidity And Mortality ◽  
Gestational Sac

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.

scholarly journals The menace of caesarean scar pregnancy: a management challenge in modern obstetrics

2020 ◽  
Vol 9 (10) ◽  
pp. 4057
Author(s):  
Anjali Choudhary ◽  
Meenakshi Tanwar ◽  
Shweta Nimonkar ◽  
Shailly Singh
Keyword(s):  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Fertility Treatment ◽  
Detailed History ◽  
Caesarean Scar ◽  
Surgical Evacuation ◽  
Caesarean Scar Pregnancy ◽  
History Of ◽  
Foley’S Catheter ◽  
Management Challenge

Background: With the increasing caesarean section rates a new challenging evil of caesarean scar pregnancy (CSPs) has emerged. As a variant of ectopic pregnancy caesarean scar pregnancy is the rarest of all. Diagnosis and management of CSP can be challenging especially when there are no early symptoms and even lessor index of suspicion.  Objective of this endeavour was to present one institute experience of management of caesarean scar pregnancies.Methods: This are a retrospective analysis of women admitted with CSP. Detailed history, investigation, management protocols and complications were noted.Results: Of the total cases maximum women (60%) had history of previous two caesarean section. 90 % of cases were managed successfully with intra-sac or systemic methotrexate, and surgical evacuation with Foley’s catheter tamponade, only two women needed hysterectomy for uncontrolled bleeding.Conclusions: Caesarean scar pregnancy is a diagnostic and management challenge in modern obstetrics. Early ultrasound diagnosis helps in planning a successful medical treatment and serves to preserve uterus and fertility. Treatment with transabdominal intra-sac methotrexate and Foley’s catheter for tamponade is safe and effective method of treating CSPs.

scholarly journals Evaluation of treatment of previous cesarean scar pregnancy with methotrexate: a systematic review and meta-analysis

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Nader Salari ◽  
Mohsen Kazeminia ◽  
Shamarina Shohaimi ◽  
Anis al-Dawlah Nankali ◽  
Masoud Mohammadi
Keyword(s):  
Ectopic Pregnancy ◽  
Meta Analysis ◽  
Fibrous Tissue ◽  
Cesarean Scar Pregnancy ◽  
Caesarean Scar ◽  
Caesarean Scar Pregnancy ◽  
The Mean ◽  
Β Hcg ◽  
Mean Time ◽  
Previous Cesarean

Abstract Background Previous caesarean scar pregnancy is one type of ectopic pregnancy in myometrium and fibrous tissue of previous caesarean scar. One of the therapeutic methods of this type of ectopic pregnancy is treatment with methotrexate. Given various findings on the treatment of caesarean scar pregnancy with methotrexate and lack of global report in this regard, we aimed to achieve a global report on the treatment of CSP with methotrexate through related literature review and analysis of the results of the studies, to enable more precise planning to reduce complications of CSP. Method This review study extracted information through searching national and international databases of SID،, Embase, ScienceDirect, ، Scopus, ، PubMed, Web of Science (ISI) between 2003 and January 2020. To perform the meta-analysis, random-effects model and heterogeneity of the studies with I2 index were investigated. Data were sanalysed using Comprehensive Meta-Analysis version 2. Results In total, 26 articles with a sample size of 600 individuals were enrolled in the meta-analysis. According to the results of the study, the mean level of β-hCG was 28,744.98 ± 4425.1 mIU/ml before the intervention and was 23,836.78 ± 4533.1 mIU/ml after the intervention. The mean intraoperative blood loss (ml) was 4.8 ± 3.76 ml, mean hospital stay (days) was 11.7 ± 1.2 days, mean time for serum-hCG normalization (days) was 41.6 ± 3.2 days, success was 90.7% (95% CI: 86.7–93.5%), and complication was 9% (95% CI: 6.3–12.8%). Conclusion The results of the current study show methotrexate significantly reduces β-hCG levels and can be effective in treating caesarean scar pregnancy and its complications.

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