Cesarean Scar Pregnancy: A Case of Conservatively Managed Clinical Rarity

Abstract

Background: Cesarean scar pregnancy is one of the rarest forms of ectopic pregnancy in which implantation occurs in the scar of a previous cesarean section. Due to increased incidence of cesarean section and first-trimester scan worldwide, more and more cases are diagnosed and reported nowadays.Case report: A 25 years G3P2A0L2 patient with previous two LSCS was referred and admitted in an emergency with chief complaints of one and half months amenorrhea followed by bleeding per vaginum for 2 days preceded by intake of MTP pills 8 days back. Her general condition was fair. The patient was investigated with routine investigations, transvaginal ultrasound, Doppler and beta hCG. Ultrasonography (USG) and color Doppler findings were suggestive of cesarean scar pregnancy. Conservative management with methotrexate was done with strict follow-up. The GSAC completely resolved by 72nd and day of diagnosis. Second look scopy at the time of tubal ligation reaffirmed the diagnosis and resolution of the scar pregnancy.