Cesarean Scar Ectopic Pregnancy

Mariam Ajaz; Kiran Javed; Shad Khan; Muhammad Nabeel; Farman Ullah Khan

doi:10.70749/ijbr.v3i10.2382

Authors

Mariam Ajaz Zanana Hospital, Dera Ismail Khan, Pakistan
Kiran Javed Zanana Hospital, Dera Ismail Khan, Pakistan
Shad Khan Gomal Medical College, Dera Ismail Khan, Pakistan
Muhammad Nabeel Gomal Medical College, Dera Ismail Khan, Pakistan
Farman Ullah Khan Ayub Medical Complex Abbottabad, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v3i10.2382

Keywords:

Cesarean, Scar, Ectopic Pregnancy.

Abstract

Although rare, Cesarean scar ectopic pregnancy poses a significant threat of uterine rupture and excessive maternal bleeding. Ultrasound confirmed a cesarean scar ectopic pregnancy with absence of fetal cardiac activity, and a peri-sac bleed concomitant with a β-hCG level of 15,000 mIU/ml. Maternal history includes G3P1+1 Alive 1 with previous 1 cesarean section and 1 early miscarriage followed by DNC and now 9 weeks POG with lower abdominal pain and mild per vaginal bleed. During an elective laparotomy, a 4x5cm scar ectopic mass was excised and a 3cm uterine rent was repaired. Her post-operative course was unremarkable with sustained drop in beta HCG levels and follow up examinations showed complete recovery along with beta HCG levels of non pregnant state. Early diagnosis and intervention plays a pivotal role in avoiding CSEP related morbidity and mortality. It is also vital for the preservation of a woman’s future fertility and reproductive capability.

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