A Series of Cesarean Scar Ectopic Pregnancies: Unusual Presentations with Customized Management Pathways

Rumi Bhattacharjee; Sheetal Ahmedbhai Shahu; Dipal Chandresh Shah; Saurabh Chandrakant Parmar; Zalak Naishadh Parmar

doi:10.5005/jp-journals-10006-2436

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A Series of Cesarean Scar Ectopic Pregnancies: Unusual Presentations with Customized Management Pathways

Rumi Bhattacharjee, Sheetal Ahmedbhai Shahu, Dipal Chandresh Shah, Saurabh Chandrakant Parmar, Zalak Naishadh Parmar

Keywords : Cesarean scar pregnancy, Maternal mortality, Obstetric hemorrhage, Scar implantation, Scar rupture

Citation Information : Bhattacharjee R, Shahu SA, Shah DC, Parmar SC, Parmar ZN. A Series of Cesarean Scar Ectopic Pregnancies: Unusual Presentations with Customized Management Pathways. J South Asian Feder Obs Gynae 2024; 16 (4):443-446.

DOI: 10.5005/jp-journals-10006-2436

License: CC BY-NC 4.0

Published Online: 09-07-2024

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Abstract

Pregnancy developing in the scar of a previous lower segment cesarean section (LSCS) is a rare occurrence. Scar ectopic pregnancy is difficult to diagnose and manage, and if not treated effectively in the early stages of pregnancy, it may cause significant maternal morbidity or fatality. In this case series, we have discussed the different clinical presentations, blood profiles, imaging, and different treatment modalities. Customized surgical approaches were employed to successfully manage all the patients. Awareness and knowledge regarding this entity among clinicians and radiologists is imperative in order to avoid potentially fatal complications such as uterine rupture, torrential hemorrhage, and death.

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