Caesarean Scar Pregnancy: A Case Report

Rudaitis, Vilius; Maldutytė, Gailė; Brazauskienė, Jūratė; Pavlauskas, Mykolas; Valančienė, Dileta

doi:10.15388/amed.2022.29.1.17

Cited by 3 publications

(7 citation statements)

References 18 publications

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“…Acceptable treatment options for CSEPs are dependent on the location of the CSEP, gestational age, and clinical presentation [ 11 ]. Traditionally, ectopic pregnancies have been treated with methotrexate if the B-HCG value was less than 5000 mIU/ml.…”

Section: Discussionmentioning

confidence: 99%

Cesarean Scar Ectopic Pregnancy: A Rare Case

Joshi,

Potdar,

Shanoo

et al. 2024

Cureus

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Cesarean scar ectopic pregnancy is one of the rarest of all ectopic pregnancies. Cesarean scar ectopic can occur after previous uterine manipulation, in vitro fertilization, hysterotomy, etc. With the increasing number of cesarean sections, the incidence of cesarean scar ectopics has increased worldwide. A high degree of suspicion over the occurrence of ectopic pregnancy after a cesarean section should be maintained by all healthcare workers. Timely diagnosis and treatment according to the presentation of an individual is of utmost importance. Here, we present a case of a 24-year-old second gravida with nine weeks of amenorrhea and a previous cesarean section presenting with the possibility of a scar ectopic, initially managed with medical management, followed by a planned laparotomy.

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Section: Discussionmentioning

confidence: 99%

Cesarean Scar Ectopic Pregnancy: A Rare Case

Joshi,

Potdar,

Shanoo

et al. 2024

Cureus

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“…Rudaitis presents a case involving a woman diagnosed with a complicated cesarean scar pregnancy, meeting the criteria for the type 3 classification of CSP. Initially, expectant management was chosen; however, due to complications arising from the CSP, secondary surgical intervention via laparotomy became necessary [23].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Cesarean Scar Pregnancy with Temporary Clipping of Anterior Trunk of Hypogastric Arteries: A Case Report

Bacila,

Balulescu,

Dabica

et al. 2024

JPM

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A cesarean scar ectopic pregnancy (CSP) represents an uncommon yet potentially life-threatening condition requiring immediate and efficient management. We present a case of a 32-year-old woman diagnosed with a scar pregnancy at 8 weeks of gestation. Laparoscopic surgical management was chosen due to its minimally invasive nature and potential for preserving fertility. During the procedure, temporary clipping of uterine arteries was employed to control intraoperative bleeding. The patient recovered well postoperatively with no complications. This case highlights the feasibility and effectiveness of laparoscopic intervention combined with temporary uterine artery clipping in the management of scar pregnancies, offering a valuable approach for clinicians faced with similar cases. Through this report, we aim to contribute to the existing literature on the optimal management of CSP and highlight the efficacy of laparoscopic surgery in this context.

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“…The primary method for diagnosing a suspected CSEP involves the use of combined transvaginal grayscale and color Doppler ultrasonography [4], which is also the most effective approach, exhibiting a sensitivity of 86.4% [5]. The ultrasound criteria employed to identify a CSEP consists of an empty uterus displaying a welldefined endometrium, an unoccupied cervical canal, the presence of a gestational sac implanted in the lower anterior part of the uterine segment, and a thin layer of myometrial tissue situated between the gestational sac and the urinary bladder [3,6].…”

Section: Discussionmentioning

confidence: 99%

“…Classified into three discernible types, CSEP's categorization depends on how the gestational sac is positioned relative to the uterine cavity and serosa. These types encompass: CSEP implanted within the niche and extending into the uterine cavity, CSEP located within the myometrium, and CSEP extending toward the urinary bladder and crossing the serosal boundaries [3,8]. While MRI is recognized as a valuable supplementary tool to transvaginal ultrasound and can confirm the diagnosis, it should not serve as the primary diagnostic method in these scenarios.…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis and Management of Cesarean Scar Ectopic Pregnancy: A Case Study

Itani,

Jabin,

Dasara

et al. 2023

Cureus

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A cesarean scar ectopic pregnancy (CSEP) designates an ectopic pregnancy within the myometrium of a past uterine incision. Early diagnosis through transvaginal ultrasonography is crucial as an untreated CSEP can lead to serious complications, including hemorrhage, loss of future fertility, and maternal death. We present a case of a 33-year-old female with five previous cesarean sections, who presented at seven weeks of gestation with concerns of a CSEP. Here, we highlight the importance of early diagnosis and maintaining high clinical suspicion in women with multiple previous cesarean sections who present with menstrual abnormalities. The CSEP is a serious condition and requires a high index of suspicion during diagnosis and follow-up. Ultrasound scanning and training should be readily available to quickly identify and treat this lifethreatening condition.

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Caesarean Scar Pregnancy: A Case Report

Cited by 3 publications

References 18 publications

Cesarean Scar Ectopic Pregnancy: A Rare Case

Cesarean Scar Ectopic Pregnancy: A Rare Case

Laparoscopic Management of Cesarean Scar Pregnancy with Temporary Clipping of Anterior Trunk of Hypogastric Arteries: A Case Report

Diagnosis and Management of Cesarean Scar Ectopic Pregnancy: A Case Study

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