Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 12 , ISSUE 3 ( May-June, 2020 ) > List of Articles

CASE REPORT

Conservative Management of Cesarean Scar Ectopic Pregnancy: A Case Series

Sangeeta Rai, Vishakha Anu, Raghunath S More

Citation Information : Rai S, Anu V, More RS. Conservative Management of Cesarean Scar Ectopic Pregnancy: A Case Series. J South Asian Feder Obs Gynae 2020; 12 (3):192-195.

DOI: 10.5005/jp-journals-10006-1777

License: CC BY-NC 4.0

Published Online: 10-02-2021

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Cesarean scar ectopic pregnancy (CSEP) is on the rise with increasing rate of cesarean section and better diagnostic modalities. Therefore, prompt and correct diagnosis and decision about treatment modality are important to reduce mortality and morbidity. Expertise of both gynecologist and radiologist is needed. High index of suspicion should be kept in mind, and any delay in management can lead to detrimental consequences. Here is a case series of three cases with CSEP and their conservative line of management. Diagnosis was made through history, clinical examination, serum beta-human chorionic gonadotropin (β-hCG) levels, ultrasound and hysteroscopy, and confirmed with histopathology also. Methotrexate was the primary treating modality in all the three cases, and the future fertility was preserved. The follow-up was by serum β-hCG and ultrasound scans.


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  1. Caesarean scar pregnancy. BJOG 2007;114(3):253–263. DOI: 10.1111/j.1471-0528.2006.01237.x.
  2. The diagnosis, treatment, and follow-up of cesarean scar pregnancy. Am J Obstet Gynecol 2012;207(1):44.e1–44.e13. DOI: 10.1016/j.ajog.2012.04.018.
  3. The importance of early diagnosis in caesarean scar pregnancy. J Perinat Med 2007;1(2):29–31.
  4. Diagnosis and management of ectopic pregnancy. BJOG 2016;123:e15–e55.
  5. Cesarean section scar ectopic pregnancy—a management conundrum: a case report. J Med Case Rep 2019;13(1):137. DOI: 10.1186/s13256-019-2069-9.
  6. Wound healing essentials: let there be oxygen. Wound Repair Regen 2009;17(1):1–18. DOI: 10.1111/j.1524-475X.2008.00436.x.
  7. Pregnancy in a cesarean scar. Ultrasound Obstet Gynecol 2000;16(6):592–593. DOI: 10.1046/j.1469-0705.2000.00300-2.x.
  8. Cesarean scar ectopic pregnancies: etiology, diagnosis and management. Obstet Gynecol 2006;107(6):1373–1381. DOI: 10.1097/01.AOG.0000218690.24494.ce.
  9. An ectopic pregnancy developing in a previous caesarian section scar. Fertil Steril 1997;67(2):398–400. DOI: 10.1016/S0015-0282(97)81930-9.
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