scholarly journals Partial Molar Caesarean Scar Pregnancy- A Case Report

2021 ◽  
Author(s):  
Usha Justa ◽  
Geetika Gupta Syal ◽  
Rita Mittal ◽  
Shruti Jha ◽  
Jyotika Bala
Keyword(s):  
Case Report ◽  
Wedge Resection ◽  
Caesarean Section Rate ◽  
Rare Condition ◽  
Gestational Trophoblastic Disease ◽  
Treatment Modalities ◽  
Caesarean Scar ◽  
Severe Haemorrhage ◽  
Future Fertility ◽  
Caesarean Scar Pregnancy

Caesarean Scar Pregnancy (CSP) is a rare entity. Gestational Trophoblastic Disease (GTD) in a CSP is exceedingly rare. This can lead to complications like rupture uterus, severe haemorrhage, hypovolemia which may require hysterectomy, endanger a woman’s life, her future fertility and death. As no therapeutic protocols have been established about this rare condition, it is difficult to diagnose and manage. The case report describes a patient, 26-year-old gravida 2 para 1, was diagnosed with a CSP with partial mole. She was treated with systemic Methotrexate (MTX) followed by surgery-wedge resection of ectopic mass and repair of uterus. Patient remained on β-hCG follow-up with us. The management of CSP requires high clinical suspicion and immediate action with combination of various treatment modalities. Primary caesarean section rate must be reduced by performing caesareans only for justified reasons, so as to decrease the incidence of scar pregnancies.

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.

scholarly journals Adenoid cystic carcinoma of the breast: case report and review of literature

2012 ◽  
Vol 94 (4) ◽  
pp. e137-e138 ◽  
Author(s):  
R Veeratterapillay ◽  
S Veeratterapillay ◽  
E Ward ◽  
H Khout ◽  
T Fasih
Keyword(s):  
Case Report ◽  
Adenoid Cystic Carcinoma ◽  
Rare Condition ◽  
Good Prognosis ◽  
Treatment Modalities ◽  
Review Of Literature ◽  
Breast Lump ◽  
Carcinoma Of The Breast ◽  
Adenoid Cystic

We report the case of a patient who presented with a painful breast lump that turned out to be an adenoid cystic carcinoma of the breast. The literature is reviewed, highlighting the good prognosis associated with this rare condition and the current preferred treatment modalities.

scholarly journals Surgical management of caesarean scar pregnancy: a case report

2020 ◽  
Vol 9 (4) ◽  
pp. 1769
Author(s):  
Savita Singh Gautam ◽  
Manmeet Kaur
Keyword(s):  
Early Diagnosis ◽  
Medical Literature ◽  
Histopathological Examination ◽  
Resonance Imaging ◽  
Caesarean Scar ◽  
Future Fertility ◽  
Maternal Morbidity And Mortality ◽  
Caesarean Scar Pregnancy ◽  
Magnetic Resonance Imaging Mri ◽  
Ectopic Pregnancies

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.

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