A RARE CASE REPORT: CAESAREAN SCAR ECTOPIC PREGNANCY - MEDICAL MANAGEMENT.

Abstract

Caesarean section scar ectopic pregnancy (SEP) is a rarest form of ectopic pregnancy. If not diagnosed and adequately treated in early pregnancy leads to considerable maternal morbidity and mortality. With the increasing rate of caesarean section there is a substantial increase in this condition with better understanding of this disease. Caesarean scar ectopic is the implantation of a gestational sac in the myometrium and brous tissues at the site of a previous uterine scar (mostly cesarean section scar). We describe the presentation, workup including radiology studies and management of a caesarean scar ectopic pregnancy in a 23 yrs. old gravida 4 para1 living 1 with 2 abortions with previous one caesarean section. The mean gestational age at the time of diagnosis was 7w 5d. The majority of the women presented with either pain or bleeding, but few cases were asymptomatic and were diagnosed with scar ectopic pregnancy during routine obstetric ultrasonography. We were successful in treating this rare form of ectopic pregnancy without any maternal morbidity and with medical management.