Case report -Cesarean scar ectopic pregnancy

Abstract

Cesarean scar ectopic pregnancy is one of the rarest of all ectopic pregnancy increase in number of cesarean section leads to increase in number of cesarean scar ectopic pregnancy. Early diagnosis and prompt management help in reducing mortality and morbidity occuring due to scar ectopic pregnancy. We are reporting a rare case of cesarean scar ectopic pregnancy G5P3L3D1 with period of gestation 7 weeks 3 days with previous all 4 deliveries by cesarean section. Cesarean scar ectopic pregnancy are life threatening as they pose a great risk of maternal hemorrhage as the patient vital are the stable patient managed medically with injection Methotrexate.

Rare Concomitant Cesarean Scar Ectopic Pregnancy With Tubal Ectopic Pregnancy: A Case Report

“…(iii) the uterine cavity is empty; and (iv) a previous cesarean scar site displays substantial blood flow on a color Doppler scan [2].…”

“…Six percent of all pregnancy-related deaths are caused by ectopic pregnancies. Ninety-five percent of ectopic pregnancies are implanted in various fallopian tube segments, while the remaining 5% are deposited in the ovary, peritoneum, or a prior cesarean scar [ 2 ].…”

“…When a patient with many cesarean deliveries' history develops bleeding during the first trimester, this typically raises serious clinical concerns about ectopic pregnancy in the cesarean scar. Cesarean deliveries have increased cesarean scar ectopic pregnancy, which is still uncommon [ 2 ]. But in our case, ectopic pregnancy was present at two different sites: cesarean scar ectopic and left ectopic tubal pregnancy, which is a rare case.…”

“…Additional places include the abdominal cavity, the cervix, under a cesarean scar, the ovary, the interstitial section of the fallopian tube, the myometrium, and others [ 1 ]. The classical triad of ectopic pregnancy includes amenorrhea, followed by abdominal pain and vaginal bleeding [ 2 ]. Ectopic pregnancy risk factors include previous extrauterine pregnancies, increasing maternal age, use of assisted reproductive technology, implantation of intra-uterine devices, use of progesterone-only pills, history of tubal ligation, ongoing sexually transmitted infection, and rising cesarean delivery rates [ 2 ].…”

“…The classical triad of ectopic pregnancy includes amenorrhea, followed by abdominal pain and vaginal bleeding [ 2 ]. Ectopic pregnancy risk factors include previous extrauterine pregnancies, increasing maternal age, use of assisted reproductive technology, implantation of intra-uterine devices, use of progesterone-only pills, history of tubal ligation, ongoing sexually transmitted infection, and rising cesarean delivery rates [ 2 ]. The number of cases recorded has been trending upward, presumably due to the expanding use of cesarean sections [ 1 ].…”