Abstract
Cesarean scar pregnancy is a rare form of ectopic pregnancy where the conceptus is implanted at the site of a previous cesarean section scar which pauses life-threatening complications if not diagnosed and managed timely. Though numerous types of treatment approaches have been described there is no consensus on the optimal treatment modality which is a challenge to clinicians. Current treatment approaches are a combination of medical and surgical interventions with varying success rates and complications.
Highlights
We report a case of viable cesarean scar pregnancy classified as Type 1 with higher serum level of serum β-hCG which was treated successfully by oral administration of mifepristone alone without the use of methotrexate followed by trans-cervical suction evacuation of the conceptus under real-time ultrasound guidance with minimal blood loss
Given the successful outcome in our case with minimum morbidity, the option of oral mifepristone followed by suction evacuation with prophylactic use of tranexamic acid must be give consideration when a cesarean scar pregnancy presents with a higher level of serum β-hCG, a live fetus and where it is classified as Type-1
Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy where the conceptus is implanted at the site of a previous cesarean section scar [1]
Summary
Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy where the conceptus is implanted at the site of a previous cesarean section scar [1]. We report a case of viable cesarean scar pregnancy classified as Type 1 with higher serum level of serum β-hCG which was treated successfully by oral administration of mifepristone alone without the use of methotrexate followed by trans-cervical suction evacuation of the conceptus under real-time ultrasound guidance with minimal blood loss.
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